Nursing Department, Wuhan Xinzhou District People's Hospital, 430400 Wuhan, Hubei, China.
Arch Esp Urol. 2024 May;77(4):405-411. doi: 10.56434/j.arch.esp.urol.20247704.55.
Radical prostatectomy (RP) is one of the most effective methods used to cure localised prostate cancer, but the risk of postoperative biochemical recurrence persists. This study aims to analyse the effect of continuous nursing based on Internet technology on mental health and quality of life in patients undergoing RP.
The medical records of patients undergoing RP in our hospital from February 2021 to February 2023 were retrospectively analysed. From February 2021 to January 2022, 89 patients received routine postoperative nursing, and 85 cases were included in the reference group after excluding 4 patients who had missing clinical data. From February 2022 to February 2023, 86 patients received continuous nursing based on Internet technology, and 80 patients were classified as the observation group after 6 patients (5 patients with incomplete clinical data and 1 patient with cognitive impairment) were excluded. The Hospital Anxiety and Depression Scale (HADS) data were collected, and urinary control, incidence of complications, nursing satisfaction and 36-item short-form health survey (SF-36) were compared between the two groups.
After management, patients in the observation group had lower Hospital Anxiety and Depression Scale-Anxiety (HADS-A) score, Hospital Anxiety and Depression Scale-Depression (HADS-D) score and postvoid residual (PVR) and higher maximum flow rate (Q) and detrusor pressure at the maximum flow rate (P-Q) ( < 0.001) than those in the reference group. The observation group also had significantly lower incidence of complications ( < 0.05), higher scores of physiological function, physiological role, physical pain, general health, vitality, social function, emotional function and mental health ( < 0.01) and significantly higher total nursing satisfaction ( < 0.05). Prostate specific antigen (PSA) level was not significantly different between the two groups after management ( > 0.05).
Continuous nursing based on Internet technology improves the psychological status and quality of life, reduces the occurrence of postoperative complications and obtains high clinical satisfaction for patients receiving RP.
根治性前列腺切除术（RP）是治疗局限性前列腺癌最有效的方法之一，但术后生化复发的风险仍然存在。本研究旨在分析基于互联网技术的连续护理对 RP 患者心理健康和生活质量的影响。
回顾性分析我院 2021 年 2 月至 2023 年 2 月行 RP 的患者的病历资料。2021 年 2 月至 2022 年 1 月，89 例行常规术后护理，剔除 4 例临床资料缺失患者后，共纳入 85 例为对照组。2022 年 2 月至 2023 年 2 月，86 例行基于互联网技术的连续护理，剔除 6 例（5 例临床资料不完整，1 例认知障碍）后，将 80 例患者分为观察组。比较两组患者的医院焦虑抑郁量表（HADS）数据、尿控情况、并发症发生率、护理满意度和 36 项简明健康状况量表（SF-36）评分。
管理后，观察组患者的医院焦虑抑郁量表-焦虑（HADS-A）评分、医院焦虑抑郁量表-抑郁（HADS-D）评分和残余尿量（PVR）均低于对照组，最大尿流率（Q）和逼尿肌最大流率时的压力（P-Q）均高于对照组（均<0.001）。观察组并发症发生率也显著降低（<0.05），生理功能、生理角色、躯体疼痛、一般健康状况、活力、社会功能、情感职能和心理健康评分均显著升高（<0.01），总护理满意度也显著升高（<0.05）。管理后两组患者前列腺特异性抗原（PSA）水平无显著差异（>0.05）。
基于互联网技术的连续护理可改善 RP 患者的心理状态和生活质量，降低术后并发症的发生，获得较高的临床满意度。
