实用老年医学

实用老年医学 ›› 2025, Vol. 39 ›› Issue (9): 968-972.doi: 10.3969/j.issn.1003-9198.2025.09.022

• 临床研究 • 上一篇    

基于目标管理理论的排尿训练对老年高危前列腺增生病人螺旋热膨胀支架置入术后排尿功能的影响

王洁, 郭妍, 蔡崔春, 王久林, 张世革, 邹慧, 殷平   

  1. 210024 江苏省南京市,南京医科大学附属老年医院护理部(王洁,蔡崔春);泌尿外科(郭妍,王久林,张世革,邹慧,殷平)
  • 收稿日期:2024-12-25 出版日期:2025-09-20 发布日期:2025-09-19
  • 通讯作者: 郭妍,Email: guoyanhome@163.com
  • 基金资助:
    江苏省卫生健康委医学科研项目(Z2022065)

Impact of bladder training guided by goal management theory on urinary function in elderly high-risk patients with benign prostatic hyperplasia receiving spiral thermal expansion stent implantation

WANG Jie, GUO Yan, CAI Cuichun, WANG Jiulin, ZHANG Shige, ZOU Hui, YIN Ping   

  1. Department of Nursing(WANG Jie, CAI Cuichun);Department of Urology( GUO Yan, WANG Jiulin, ZHANG Shige, ZOU Hui, YIN Ping ), the Affiliated Geriatric Hospital of Nanjing Medical University, Nanjing 210024, China
  • Received:2024-12-25 Online:2025-09-20 Published:2025-09-19
  • Contact: GUO Yan, Email:guoyanhome@163.com

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摘要： 目的 探讨基于目标管理理论的排尿训练在促进前列腺支架置入术后病人排尿功能恢复中的作用。 方法 本研究采用历史对照临床试验设计,以2021年1月1日至2024年8月31日于泌尿外科行螺旋热膨胀支架植入术的老年高危前列腺增生病人为研究对象,按入院时间分为对照组(n=24)与观察组(n=30),对照组给予常规排尿训练,观察组采用基于目标管理理论的排尿训练,比较2组病人住院时间及术后排尿功能恢复情况。 结果 术后,观察组病人首次排尿时间[1.0(0.9,2.0)d比2.0(1.1,3.0)d, P=0.016]、膀胱造瘘管封管时间[5.5(3.8,8.3)d比10.0(6.0,16.0)d, P=0.007]及住院时间[9.0(7.0,12.0)d比12.0(9.0,19.0)d, P=0.020]均较对照组明显缩短;且观察组的日常排尿功能分级(CDUF)优于对照组(P<0.05)。 结论 基于目标管理的排尿训练能够促进老年高危前列腺增生病人支架置入术后排尿功能的恢复,具备临床推广价值。

关键词: 良性前列腺增生, 螺旋热膨胀前列腺支架, 高危, 排尿功能训练, 目标管理理论

Abstract: Objective To investigate the effect of bladder training under the guidance of the goal management theory on promoting the recovery of urination function in the elderly patients receiving prostate stent implantation. Methods This study adopted a historical controlled clinical trial design. The elderly high-risk patients with benign prostatic hyperplasia (BPH) undergoing spiral thermal expansion stent implantation in Department of Urology from January 1, 2021 to August 31, 2024 were enrolled. All patients were divided into the control group (n=24) and the observation group (n=30) according to the admission time. The control group received conventional bladder training, while the observation group received bladder training based on goal management theory. The length of hospital stay and postoperative urinary function were compared between the two groups. Results In the observation group, the time of first postoperative urination[1.0(0.9,2.0)d vs 2.0(1.1,3.0)d, P=0.016], the time of cystostomy tube sealing [5.5(3.8,8.3)d vs 10.0(6.0,16.0)d, P=0.007] and the length of hospital stay [9.0(7.0,12.0)d vs 12.0(9.0,19.0)d, P=0.020] were shorter than those in the control group. The daily urinary function classification of the observation group was better than that of the control group (P<0.05). Conclusions The bladder training based on goal management can improve the urination function of the elderly high-risk patients with BPH after stent implantation, and has clinical promotion value.

Key words: benign prostatic hyperplasia, spiral thermo-expandable prostatic stent, high risk, bladder training, goal management theory

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