基于云随访平台的医院-家庭连续性护理在老年前列腺癌根治术患者中的应用

doi:10.376l/j.issn.0254-1769.2022.11.003

摘要/Abstract

摘要：

目的探讨基于云随访平台的医院-家庭连续性护理应用于老年前列腺癌根治术患者中的效果。方法采用方便抽样法,选取2020年7月—2022年2月在新疆维吾尔自治区某三级甲等医院拟行根治术的80例老年前列腺癌患者作为研究对象,按手术时间分为试验组和对照组（各40例）。试验组行基于云随访平台的医院-家庭连续性护理,对照组采用常规围手术期护理和出院随访。比较两组拔除导尿拔管后当天、2周及1、3、6个月尿失禁程度和盆底肌肌力,比较两组拔除导尿管后6个月的生活质量和尿失禁健康知识掌握情况。结果借助云随访平台实施医院-家庭连续性护理患者拔除导尿管后2周及1、3、6个月,试验组盆底肌肌力评分均高于对照组,尿失禁得分均低于对照组,差异具有统计学意义（P<0.001）;试验组拔除导尿管后6个月时生活质量和尿失禁健康知识得分分别为93.50（88.25,100.00）分、20.00（20.00,20.00）分,均高于对照组的57.00（42.75,77.00）分、10.00（9.00,11.00）分,差异有统计学意义（P<0.001）。结论基于云随访平台的医院-家庭连续性护理应用于老年前列腺癌根治患者中可提高患者盆底肌肌力和尿失禁健康知识得分,改善患者的尿失禁问题,提高其生活质量。

关键词: 前列腺癌, 连续性护理, 尿失禁, 生活质量, 云随访

Abstract:

Objective To explore the effect of hospital-home continuum nursing based on a cloud follow-up platform in elderly patients with radical prostatectomy. Methods Convenience sampling method was used to select 80 prostate cancer patients who planned to receive radical surgery in a tertiary A a hospital in Xinjiang from July 2020 to February 2022 as the research subjects,and they were divided into an experimental group and a control group according to the operation time（40 cases in each group）. The experimental group received hospital-home continuous care based on a cloud follow-up platform,while the control group received routine perioperative care and discharge follow-up.The degree of urinary incontinence and pelvic floor muscle strength were compared between the 2 groups on the day,2 weeks,1 month,3 months,and 6 months after extubation,and the quality of life and health knowledge of urinary incontinence at 6 months after catheter removal were compared. Results With the help of the cloud follow-up platform,the hospital-home continuous care was implemented at 2 weeks,1 month,3 months,and 6 months after the removal of the urinary catheter. The pelvic floor muscle strength scores of the experimental group were higher than those of the control group,and the urinary incontinence scores were all lower than the control group.The difference was statistically significant（P<0.001）;the scores of quality of life and urinary incontinence health knowledge in the experimental group at 6 months after extubation were 93.50（88.25,100.00） and 20.00（20.00,20.00）,which were higher than those in the control group of 57.00（42.75,77.00） and 1.00（9.00,11.00）. The difference was statistically significant（P<0.001）. Conclusion The application of hospital-home continuum nursing based on the cloud follow-up platform in elderly patients with radical prostatectomy can improve the patient’s pelvic floor muscle strength and urinary incontinence health knowledge,improve the patient’s urinary incontinence problem,and improve their quality of life.

Key words: Prostate Cancer, Continuous Care, Urinary Incontinence, Quality of Life, Cloud Follow-Up

蒋清群, 周萍, 郑琰, 江春芳. 基于云随访平台的医院-家庭连续性护理在老年前列腺癌根治术患者中的应用[J]. 中华护理杂志, 2022, 57(11): 1297-1303.

JIANG Qingqun, ZHOU Ping, ZHENG Yan, JIANG Chunfang. The effects of hospital-home continuum nursing based on a cloud follow-up platform in elderly patients with radical prostatectomy[J]. Chinese Journal of Nursing, 2022, 57(11): 1297-1303.

图/表 4

表1 两组一般资料的比较

Table 1 Comparison of general data between the two groups

表2 两组拔除导尿管后当天、2周及1、3、6个月盆底肌肌力的比较[分,M(P25,P75)]

Table 2 Comparison of pelvie floor muscle strength between the two groups at the same day,2 weeks,1,3 and 6 months after extubation

表3 两组拔除导尿管当天、2周及1、3、6个月尿失禁严重程度的比较[分,M(P25,P75)]

Table 3 Comparison of urinary incontinence scores between the two groups at the day,2 weeks,1,3 and 6 months after extubation

表4 两组拔管后6个月尿失禁健康知识和生活质量得分的比较[分,M(P25,P75)]

Table 4 Comparison of health knowledge and quality of life score of urinary incontinence 6 months after extubation between the two groups[ scores,M(P25,P75)]

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