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改善围手术期护理干预中的教育性护理干预对腹腔镜前列腺癌根治术患者结局的影响。

Impact of improving educational nursing interventions in perioperative nursing interventions on outcomes of prostate cancer patients with laparoscopic radical prostatectomy.

作者信息

Zhu Yuhong, Yang Gaojie, Wu Lifeng, Yin Yan, Ding Yangyang

机构信息

Medical Doctor, Department of Urology, The First Affiliated Hospital of Soochow University, No. 188 Shizi Street, Gusu District, Suzhou City, P.R. China.

Medical Doctor, Department of Urology, The First Affiliated Hospital of Soochow University, Suzhou City, P.R. China.

出版信息

J Res Nurs. 2024 Dec;29(8):640-648. doi: 10.1177/17449871241281151. Epub 2024 Dec 14.

Abstract

BACKGROUND

Recent studies have reported that perioperative nursing intervention (PNI) plays important roles in the outcomes of prostate cancer (PC) patients undergoing laparoscopic radical prostatectomy (LRP). This study aimed to further investigate the role of educational nursing intervention in PNI on the recovery of PC patients with LRP.

METHODS

A total of 98 PC patients who underwent LRP were enrolled in this study. These patients were randomly divided into control ( = 49) and experimental ( = 49). Both groups received routine PNI, while the experimental group also received personalised PNI with enhanced educational nursing interventions. The study compared blood loss during surgery, surgery success rate, clinical signs of intestinal motility, postoperative hospital stay and postoperative complications between these two groups.

RESULTS

Both the control and experimental groups achieved a 100% surgery success rate. The experimental group experienced significantly less blood loss. Moreover, the recovery of intestinal function was faster, and the postoperative hospital stay was shorter in the experimental group. Furthermore, the incidence of postoperative complications was lower in the experimental group.

CONCLUSION

Our findings confirmed the importance of enhanced educational nursing interventions in personalised perioperative nursing care for PC patients undergoing LRP.

摘要

背景

近期研究报道,围手术期护理干预(PNI)在接受腹腔镜前列腺癌根治术(LRP)的前列腺癌(PC)患者的预后中发挥着重要作用。本研究旨在进一步探讨教育护理干预在PNI中对接受LRP的PC患者康复的作用。

方法

本研究共纳入98例接受LRP的PC患者。这些患者被随机分为对照组(n = 49)和实验组(n = 49)。两组均接受常规PNI,而实验组还接受了强化教育护理干预的个性化PNI。本研究比较了两组患者手术中的失血量、手术成功率、肠蠕动临床体征、术后住院时间和术后并发症。

结果

对照组和实验组的手术成功率均达到100%。实验组的失血量明显较少。此外,实验组的肠道功能恢复更快,术后住院时间更短。此外,实验组的术后并发症发生率更低。

结论

我们的研究结果证实了强化教育护理干预在接受LRP的PC患者个性化围手术期护理中的重要性。

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本文引用的文献

1
Radical Prostatectomy: Sequelae in the Course of Time.根治性前列腺切除术:随时间推移的后遗症。
Front Surg. 2021 May 28;8:684088. doi: 10.3389/fsurg.2021.684088. eCollection 2021.
8
The Diagnosis and Treatment of Prostate Cancer: A Review.前列腺癌的诊断与治疗:综述
JAMA. 2017 Jun 27;317(24):2532-2542. doi: 10.1001/jama.2017.7248.
10
Psychological Prehabilitation Before Cancer Surgery: A Systematic Review.癌症手术前的心理预康复:一项系统综述
Ann Surg Oncol. 2015 Dec;22(13):4117-23. doi: 10.1245/s10434-015-4550-z. Epub 2015 Apr 14.

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