| Objective:To evaluate the efficacy of psychological nursing on anxiety depression conditions and recovery in patients with transurethral resection of prostate (TURP) during perioperative period, provide the basis for perfecting TURP preoperative nursing plan.Methods:A total of 114 consecutive BPH patients, selected from 167 patients performing TURP in Qilu Hospital, were collected to control group (N=57) and intervention group (N=57) randomly. The control group was given routine nursing, while the intervention group received psychological nursing intervention on the basis of routine nursing. The influential factors of anxiety and depress were analyzed, including age, duration of disease, IPSS and QOL score and residual urine. The Self-rating Anxiety Scale (SAS) and Self-rating Depress Scale (SDS) of patients 24 hours after admission,12 hours before surgery and 24 hours before discharge, and postoperative complication, the time of bladder irrigation, catheterization and hospitalization were recorded and compared in the two groups. All data were analyzed by SPSS 19.0.Results:1. The influential factors of anxiety and depress for BPHThe SAS and SDS score were designated as dependent variables, while age, duration of disease, IPSS and QOL score, residual urine were dependent variables. The regression analysis was applied to find that SAS and SDS have a correlation with age, duration of disease, degree of education, grade of IPSS and QOL (P<0.05).2. Comparison of the anxiety and depression conditions of two groups of patients during perioperative periodSAS and SDS of patients 24 hours after admission:SAS was 56.30±6.52in the control group and 54.79±6.05 in the intervention group, while SDS was 59.23±8.64and 58.53±7.89. All of them have no significant difference, but higher than control data of health people.SAS and SDS of patients 12 hours before surgery:The grade of SAS was 56.23±6.91 in the intervention group, which is lower than it in the control group. Meanwhile, the SDS of intervention group is lower than it in the control group.SAS and SDS of patients 24 hours before discharge:The grade of SAS and SDS were 48.65±7.12 and 51.32±7.01 in the intervention group, which is lower than them in the control group. Luckily, both of them were lower than the grade in 24 hours after admission.Comparing with the SAS and SDS score of patients 24 hours after admission, the SAS and SDS score of the intervention group have no significant difference during 12 hours before surgery, while these score increased significantly in the control group. Besides, the variation of SAS and SDS scorehave significantdifferencebetween the two group.Comparing with the SAS and SDS score of patients 12 hours before surgery, the SAS and SDS score decreased significantly during 24 hours before discharge in both group. The variation of SASand SDS score have significant difference between the two group.Comparing with the SAS and SDS score of patients 24 hours after admission, the SAS and SDS score decreased significantly during 24 hours before discharge in both group. The variation of SAS and SDS score have significant difference between the two group.3. Comparison of the postoperative complication, bladder irrigation, catheterization and hospitalization in two groupsThe mean operative time was 62.30±13.34 minutes for the intervention group and 58.49±12.13 minutes for control group (P>0.05).3 patients in the intervention group and 5 patients in the control group suffered postoperation bleeding. Bladder irritation was observed in 2 patients in the intervention group and 8 patients in the control group.2 patients in the intervention group experienced urinary incontinence, while 4 in the control group.4 patients in the intervention group and 3 patients in the control group suffered urinary infection.3 patients in the intervention group and 2 patients in the control group had venous thrombosis of lower extremity. The time of bladder irrigation after operation was 24.19±6.79 in the intervention group and 22.65±7.62 in the control group (P>0.05). A significant difference in favor of the intervention group was achieved for the postoperative catheterization and hospitalization time (2.61±0.84days vs 3.84±0.75 days, P<0.05; 3.51±1.09 days vs 5.39±0.98 days, P<0.05). The satisfaction of patients in intervention group was better than that in control group (94.53123.76 vs 85.65±37.38).Conclusions:The anxious and depress have a correlation with age, degree of education, grade of IPSS and QOL for BPH. Psychological nursing intervention can improve anxiety and depression conditions in patients of TURP during perioperative period. Meanwhile, it can reduce the postoperative complication, catheterization and hospitalization time. Then, it would promote the postoperative recovery, improve the psychological condition of patients, which can be used to apply during clinical work. |
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