提肛肌锻炼依从性对前列腺术后尿失禁的影响

李孝梅; 李换换; 化方园; 胡朋亭

doi:10.13898/j.cnki.issn.1000-2020.07.034

提肛肌锻炼依从性对前列腺术后尿失禁的影响

Analysis of the compliance of levator anal muscle training for urinary incontinence after prostate surgery

摘要

摘要:
目的分析相关护理因素对前列腺电切术后尿失禁发生的影响因素，以期为临床护理提供指导。
方法选取接受前列腺电切术的111例病人作为研究对象，收集一般资料、国际前列腺症状评分、提肛肌锻炼依从性评估以及尿失禁评估，分析尿失禁发生相关危险因素。
结果术后拔除导尿管时尿失禁发生率为32.43%，随访术后1个月时尿失禁发生率为18.01%，术后3个月时为7.21%。Logistic回归分析显示年龄>70岁，留置尿管时间 < 3 d或>7 d，术前或术后提肛肌锻炼依从性差是电切术后尿失禁发生的危险因素（P < 0.05~P < 0.01）。
结论高龄、术后留置尿管时间过短或过长、提肛肌锻炼依从性差是发生前列腺电切术后尿失禁的主要因素，因此护理上要采取对策进行督促提肛肌锻炼。

Abstract:
ObjectiveTo analyze the related influencing factors of nursing on the occurrence of urinary incontinence after electroprostatectomy, in order to provide guidance for clinical nursing.
MethodsA total of 111 patients treated with electroprostatectomy were selected.The general data, international prostate symptom score, compliance assessment of levator anal muscle training, assessment of urinary incontinence in all cases were investigated, and the related risk factors of urinary incontinence were analyzed.
ResultsThe incidence rate of urinary incontinence was 32.43% after the removal of catheter.The incidence rate of urinary incontinence after 1 and 3 months of operation were 18.01% and 7.21%, respectively.The results of logistic regression analysis showed that the age >70 years old, indwelling catheter time < 3 days or >7 days, poor compliance with levator anal muscle training before or after surgery were the risk factors of urinary incontinence after electroprostatectomy (P < 0.05 to P < 0.01).
ConclusionsAdvanced age, too short or too long indwelling time and poor compliance of levator anal muscle training are the main factors of urinary incontinence after electroprostatectomy, the nursing measures should be taken to urge levator anal muscle training.

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