术前护理访视对前列腺癌根治术患者焦虑和术后并发症的影响:一项回顾性研究

IF 0.6 4区 医学 Q4 UROLOGY & NEPHROLOGY Archivos Espanoles De Urologia Pub Date : 2024-08-01 DOI:10.56434/j.arch.esp.urol.20247707.103
Mengyu Zhang, Lu Chen, Xiaobing Lai, Yifan Li, Jinfang Si, Fen Wu, Hui Kong
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引用次数: 0

摘要

研究目的本研究旨在探讨术前护理访视对前列腺癌根治术患者焦虑及术后并发症的影响,为接受手术治疗的前列腺癌(PCa)患者提供更好的围手术期管理方案:回顾性分析 2021 年 6 月至 2023 年 6 月期间在我院接受 PCa 治疗的 199 名患者的病历。参照组接受术前常规护理,观察组实施术前护理访视。比较两组患者的压力指数、生活质量、负面情绪水平和并发症发生率:结果:管理前,两组患者的肾上腺素、去甲肾上腺素和皮质醇水平无明显差异(P>0.05)。管理后,观察组的上述压力指标水平低于参照组(P < 0.001)。管理前,两组患者的短表-36健康调查(SF-36)得分无明显差异(P > 0.05)。管理后,观察组的 SF-36 评分高于参照组(P < 0.001)。管理前,两组的汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)得分无明显差异(P > 0.05)。治疗后,观察组的汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评分低于参照组(P < 0.001)。此外,两组的并发症发生率无明显差异(P > 0.05):结论:术前护理访视可在一定程度上减轻 PCa 患者的焦虑。结论:术前护理访视可在一定程度上减轻 PCa 患者的焦虑情绪,促进患者术后康复,具有一定的临床应用价值和推广价值。
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Effect of Preoperative Nursing Visit on Anxiety and Postoperative Complications in Patients Undergoing Radical Prostatectomy: A Retrospective Study.

Objective: This study aimed to explore the effect of preoperative nursing visit on anxiety and postoperative complications in patients undergoing radical prostatectomy and to provide a better perioperative management plan for patients with prostate cancer (PCa) undergoing surgical treatment.

Methods: The medical records of 199 patients who underwent PCa treatment in our hospital from June 2021 to June 2023 were retrospectively analysed. The reference group received preoperative routine nursing, whereas the observation group implemented preoperative nursing visit. The stress indexes, quality of life, negative emotion level and incidence of complications were compared between the two groups.

Results: Before management, no significant difference in the levels of epinephrine, norepinephrine and cortisol was found between the two groups (p > 0.05). After management, the levels of the abovementioned stress indicators in the observation group were lower than those in the reference group (p < 0.001). Before management, no significant difference in Short-Form-36 Health Survey (SF-36) scores was observed between the two groups (p > 0.05). After management, the observation group had higher SF-36 score than the reference group (p < 0.001). Before management, no significant difference in Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) scores was found between the two groups (p > 0.05). After management, the observation group had lower HAMA and HAMD scores than the reference group (p < 0.001). Furthermore, no significant difference in the incidence of complications was found between the two groups (p > 0.05).

Conclusions: Preoperative nursing visit can reduce the anxiety of patients with PCa to a certain extent. This scheme can promote the postoperative recovery of patients, and it has certain clinical application and promoting values.

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来源期刊
Archivos Espanoles De Urologia
Archivos Espanoles De Urologia UROLOGY & NEPHROLOGY-
CiteScore
0.90
自引率
0.00%
发文量
111
期刊介绍: Archivos Españoles de Urología published since 1944, is an international peer review, susbscription Journal on Urology with original and review articles on different subjets in Urology: oncology, endourology, laparoscopic, andrology, lithiasis, pediatrics , urodynamics,... Case Report are also admitted.
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