Wareing Mark
Horton Hospital, Banbury.
Nurs Stand. 2004;18(24):33-7.
This article examines one of the most common outpatient diagnostic procedures carried out in urology--the transrectal ultrasound (TRUS) and prostatic biopsy. Following an exploration of the aetiology, anatomy and physiology of prostate disease, an explanation is given regarding the clinical investigations that inform the decision-making process and precipitate the procedure. Technical, clinical and ethical issues will be explored before a through examination of the TRUS and biopsy procedure and the crucial role of the registered nurse and healthcare assistant. References are made to the elements of nursing care required throughout this most invasive of procedures. These include counselling, discharge information and the maintenance of patient dignity in relation to gender-sensitive care.
本文探讨了泌尿外科最常见的门诊诊断程序之一——经直肠超声检查（TRUS）及前列腺活检。在探究前列腺疾病的病因、解剖学和生理学之后，对指导决策过程并促使该程序实施的临床检查进行了解释。在全面审视TRUS及活检程序以及注册护士和医疗保健助理的关键作用之前，将探讨技术、临床和伦理问题。文中提及了在这一侵入性最强的程序中所需的护理要素。这些要素包括咨询、出院信息以及在性别敏感护理方面维护患者尊严。
