机器人辅助腹腔镜前列腺切除术后尿失禁康复管理方案的临床疗效。
Clinical efficacy of a rehabilitation management protocol for urinary incontinence after robot-assisted laparoscopic prostatectomy.
机构信息
Department of Urology, Affiliated Changhai Hospital of Naval Medical University, Shanghai, China.
Nursing Department, Shanghai Gongli Hospital, Shanghai, China.
出版信息
Support Care Cancer. 2024 Sep 11;32(10):653. doi: 10.1007/s00520-024-08846-z.
OBJECTIVE
To evaluate the application of a rehabilitation management protocol for urinary incontinence after robot-assisted laparoscopic prostatectomy (RALP).
METHODS
We conducted a retrospective cohort study of 114 patients who underwent RALP between August 2021 and November 2021 as the control group and a prospective analysis of 114 patients who underwent RALP between May 2022 and August 2022 as the experimental group. The rehabilitation management protocol focused on preoperative stage, postoperative care, day of catheter removal, 1 month postoperative, 3 months postoperative, 6 months postoperative, and 12 months or more postoperative.
RESULTS
The 24-h pad test was significantly lower in the experimental group compared with the control group at 2 and 6 months after RALP (both P < 0.01). The scores of the international consultation on incontinence questionnaire-short form (ICIQ-SF) in the experimental group were significantly lower than those in the control group at 1 month after RALP (P < 0.01).The scores of quality of life in the experimental group were significantly higher than those of the control group at 1, 2, and 6 months after RALP (all P < 0.01).The scores of Broome Pelvic Muscle Self-efficacy Scale (BPMSES) were lower than those of the control group at 1, 2, 3, and 6 months after RALP (all P < 0.01).
CONCLUSION
The application of the rehabilitation management protocol had significant beneficial effects on urinary functions and quality of life in patients with prostate cancer after RALP.
目的
评估机器人辅助腹腔镜前列腺切除术（RALP）后尿失禁康复管理方案的应用。
方法
我们进行了一项回顾性队列研究，纳入了 2021 年 8 月至 2021 年 11 月间接受 RALP 的 114 例患者作为对照组，并对 2022 年 5 月至 2022 年 8 月间接受 RALP 的 114 例患者进行前瞻性分析作为实验组。该康复管理方案侧重于术前阶段、术后护理、拔除导尿管日、术后 1 个月、3 个月、6 个月和 12 个月及以上。
结果
与对照组相比，实验组在 RALP 后 2 个月和 6 个月时 24 小时尿垫试验显著降低（均 P < 0.01）。实验组在 RALP 后 1 个月时国际尿失禁咨询问卷-简短形式（ICIQ-SF）评分明显低于对照组（P < 0.01）。实验组在 RALP 后 1、2 和 6 个月时生活质量评分明显高于对照组（均 P < 0.01）。实验组在 RALP 后 1、2、3 和 6 个月时布罗姆盆腔肌肉自我效能量表（BPMSES）评分均低于对照组（均 P < 0.01）。
结论
RALP 后应用康复管理方案对前列腺癌患者的尿功能和生活质量有显著的有益影响。
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