WANG Jinmei, MEI Huiyuan, GE Minyao. Effect of clinical pathway-guided rapid rehabilitation surgery nursing on recovery after transurethral resection of prostate[J]. Journal of Clinical Medicine in Practice, 2019, 23(11): 129-132. DOI: 10.7619/jcmp.201911037
Citation: WANG Jinmei, MEI Huiyuan, GE Minyao. Effect of clinical pathway-guided rapid rehabilitation surgery nursing on recovery after transurethral resection of prostate[J]. Journal of Clinical Medicine in Practice, 2019, 23(11): 129-132. DOI: 10.7619/jcmp.201911037

Effect of clinical pathway-guided rapid rehabilitation surgery nursing on recovery after transurethral resection of prostate

More Information
  • Received Date: March 27, 2019
  • Accepted Date: April 24, 2019
  • Available Online: February 22, 2021
  • Published Date: June 14, 2019
  •   Objective  To explore the effect of rapid rehabilitation surgery nursing guided by clinical pathway on the recovery of patients after transurethral resection of prostate.
      Methods  A total of 128 benign prostatic hyperplasia patients who underwent transurethral resection of the prostate were selected as study subjects. According to the random number table method, all patients undergoing prostatectomy were divided into control group (64 cases) and study group (64 cases). Patients in the control group were given routine nursing, while those in the study group were given clinical pathway-guided rapid rehabilitation surgical nursing on the basis of the control group. The postoperative recovery, complications and nursing satisfaction of the two groups were observed and compared.
      Results  The duration of continuous bladder irrigation, indwelling time of urinary catheter, time to first ambulation and time to first exhaust in the study group were significantly shorter than those in the control group (P < 0.05). The incidence of complications in the study group was lower than that in the control group (7.81% vs. 18.75%, P < 0.05);the nursing satisfaction in the study group was higher than that in the control group (96.87% vs. 81.25%, P < 0.05).
      Conclusion  The clinical pathway-guided rapid rehabilitation surgery nursing has a more significant effect for patients undergoing transurethral resection of the prostate, and can promote the recovery of patients, reduce the incidence of complications and improve patients′ nursing satisfaction.
  • [1]
    汤爱玲, 徐琼峰, 许方蕾, 等. 前列腺增生及恶性肿瘤患者术后留置导尿时间的影响因素分析[J]. 中华现代护理杂志, 2017, 23(13): 1718-1723. doi: 10.3760/cma.j.issn.1674-2907.2017.13.004
    [2]
    韩阿琴. 对接受经尿道前列腺电切术治疗的前列腺增生症患者实施临床路径护理的效果研究[J]. 当代医药论丛, 2014, 12(18): 119-121. doi: 10.3969/j.issn.2095-7629.2014.18.102
    [3]
    John M, Crook D, Dasari K, et al. Comparison of resistive heating and forced-air warming to prevent inadvertent perioperativehypothermia[J]. Br J Anaesth, 2016, 116(2): 249-254. doi: 10.1093/bja/aev412
    [4]
    Winkler L A, Christiansen E, Lichtenstein MB, et al. Quality of life in eating disorders: a meta-analysis[J]. Psychiatry Res, 2014, 219(1): 1-9. doi: 10.1016/j.psychres.2014.05.002
    [5]
    陈颖, 刘学锋, 蒋朝品. 预见性护理小组的建立对经尿道前列腺电切术疗效及术后并发症的影响[J]. 实用临床医药杂志, 2017, 21(6): 118-121. doi: 10.7619/jcmp.201706036
    [6]
    张云澜, 邓琼, 周春燕. 快速康复护理对经尿道前列腺电切术患者康复的干预效果[J]. 现代医药卫生, 2017, 33(18): 2863-2864. doi: 10.3969/j.issn.1009-5519.2017.18.049
    [7]
    Parolari A, Poggio P, Myasoedova V, et al. Molecular pathways activation in coronary artery bypass surgery: which role for pump avoidance[J]. Journal of cardiovascular medicine, 2016, 17(1): 54-61. doi: 10.2459/JCM.0000000000000293
    [8]
    张颖, 江静霞, 梁辉. 快速康复外科理念在腹腔镜下前列腺癌根治术围术期临床护理中的应用[J]. 护士进修杂志, 2017, 32(15): 1400-1402. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201715019.htm
    [9]
    邱艳梅. 循证护理方法的3D腹腔镜下前列腺癌根治术围术期中的效果分析[J]. 当代医学, 2017, 23(35): 165-167. doi: 10.3969/j.issn.1009-4393.2017.35.082
    [10]
    Descazeaud A, Mathieu R. Oral anticoagulation therapy and laser surgery for benign prostatic hyperplasia: stop, replace, or continue[J]. Current opinion in urology, 2016, 26(1): 35-41. doi: 10.1097/MOU.0000000000000238
    [11]
    邓霞. 经尿道前列腺电切术的手术配合[J]. 中外医学研究, 2017, 15(8): 98-99. https://www.cnki.com.cn/Article/CJFDTOTAL-YJZY201708056.htm
    [12]
    汪倩, 申文冬, 杨春, 等. 快速康复外科理念在前列腺电切手术中的应用[J]. 现代医学与健康研究, 2017, 1(8): 145-147. https://www.cnki.com.cn/Article/CJFDTOTAL-XYJD201708128.htm
    [13]
    Ursprung E, Oren-Grinberg A. Point-of-Care Ultrasound in the Perioperative Period[J]. International anesthesiology clinics, 2016, 54(1): 1-21. doi: 10.1097/AIA.0000000000000084
    [14]
    詹汉丽, 高思慧, 严敏俊. 外科快速康复理念对老年前列腺增生患者术后康复的影响[J]. 中国煤炭工业医学杂志, 2015, 18(8): 1415-1417. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMGY201508045.htm
    [15]
    王倩倩. 快速康复理念在腹腔镜下前列腺癌根治术护理中的应用效果[J]. 临床医药文献杂志, 2018, 5(46): 116-116. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWX201846096.htm
    [16]
    Hokuto D, Nomi T, Yamato I, et al. Impact of Mechanical Bowel Preparation on Postoperative Outcomes after Liver Resection for Patients with Hepatocellular Carcinoma: A SingleCenter Retrospective Cohort Study[J]. Digestive surgery, 2016, 33(1): 51-57. doi: 10.1159/000441394
    [17]
    刘滨. 护理干预对老年前列腺增生手术患者术后康复的影响[J]. 实用临床医药杂志, 2017, 21(8): 121-123. doi: 10.7619/jcmp.201608036
    [18]
    刘力婕, 张潮, 罗丽娜. FTS护理在钬激光前列腺剜除术围术期的应用[J]. 河北北方学院: 自然科学版, 2016, 32(6): 17-18. doi: 10.3969/j.issn.1673-1492.2016.06.007
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