护理干预对根治性前列腺切除术后患者尿、肠和性功能障碍的影响

Fuad Radman Taleb PhD, Wael Mohammed Sameh PhD, Kawthar Gaber Tolba PhD, Soheir AbuElfadhl Hegazi PhD, Asmaa Taha Altaheri PhD
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引用次数: 0

摘要

前列腺癌是世界范围内最常见的男性癌症之一。局部前列腺癌的主要治疗选择是根治性前列腺切除术。不幸的是,相当大比例的男性可能会经历长期的术后后遗症,这是确定护理干预对根治性前列腺切除术后患者尿、肠和性功能障碍的影响。准实验(一组,前测后测)研究设计。本研究纳入30例根治性前列腺切除术后患者。每位患者接受了五次访谈。在这些会议中,提供了RP,盆底运动训练和性康复的并发症的信息。采用国际尿失禁咨询问卷-尿失禁短表(ICIQ-UI-SF)、修订的尿失禁量表(RFIS)和男性性健康问卷(SHIM)来评估护理干预的效果。研究结果表明,前列腺根治术后泌尿功能障碍和性功能障碍的发生率较高。幸运的是,实施护理干预后,泌尿和性功能障碍得到改善,差异有统计学意义(p值<0.05)。护理实施后大便失禁发生率为16.7%,护理实施后大便失禁发生率为13.3%,差异无统计学意义。护理干预对根治性前列腺切除术后尿失禁在短期内有效,而对性功能障碍的改善可能需要较长时间。
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The effect of nursing interventions on urinary, bowel and sexual dysfunction among post-radical prostatectomy patients

Prostate cancer is one of the commonest types of cancer in men worldwide. The primary treatment option for localized prostate cancer is radical prostatectomy. Unfortunately, a considerable proportion of men may experience long-term post-surgical sequelae is to determine the effect of nursing interventions on urinary, bowel, and sexual dysfunction among post-radical prostatectomy patients. A quasi-experimental (one group, pre-test–post-test) research design. We included 30 post-radical prostatectomy patients in this study. Each patient was interviewed in five sessions. During these sessions, the information about the complications of RP, pelvic floor exercise training and sexual rehabilitation was given. International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF), The Revised Faecal Incontinence Scale (RFIS) and Sexual Health Inventory for Men (SHIM) were used to evaluate the effect of nursing interventions. The study results demonstrate that the incidence of urinary and sexual dysfunction is high among patients post-radical prostatectomy patients. Fortunately, urinary and sexual dysfunctions were improved post-implementation of nursing intervention with statistically significant differences (p-value <0.05). The incidence of faecal incontinence was 16.7% while it was 13.3% post-nursing implementation with no statistically significant differences. Nursing intervention is effective in the management of urinary incontinence after radical prostatectomy within a short period time while the improvement in sexual dysfunction may need more time.

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来源期刊
CiteScore
0.80
自引率
20.00%
发文量
35
审稿时长
>12 weeks
期刊介绍: International Journal of Urological Nursing is an international peer-reviewed Journal for all nurses, non-specialist and specialist, who care for individuals with urological disorders. It is relevant for nurses working in a variety of settings: inpatient care, outpatient care, ambulatory care, community care, operating departments and specialist clinics. The Journal covers the whole spectrum of urological nursing skills and knowledge. It supports the publication of local issues of relevance to a wider international community to disseminate good practice. The International Journal of Urological Nursing is clinically focused, evidence-based and welcomes contributions in the following clinical and non-clinical areas: -General Urology- Continence care- Oncology- Andrology- Stoma care- Paediatric urology- Men’s health- Uro-gynaecology- Reconstructive surgery- Clinical audit- Clinical governance- Nurse-led services- Reflective analysis- Education- Management- Research- Leadership The Journal welcomes original research papers, practice development papers and literature reviews. It also invites shorter papers such as case reports, critical commentary, reflective analysis and reports of audit, as well as contributions to regular sections such as the media reviews section. The International Journal of Urological Nursing supports the development of academic writing within the specialty and particularly welcomes papers from young researchers or practitioners who are seeking to build a publication profile.
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