【摘要】 目的:探索基于循证构建的标准操作规程(SOP)对根治性前列腺切除术患者尿失禁的影响。方法:将2022年10月至2023年9月63例根治性前列腺切除术患者作为对照组，2023年10月至2024年9月63例根治性前列腺切除术患者作为观察组。对照组予以围手术期常规护理，观察组予以围手术期常规护理+根治性前列腺切除术患者尿失禁管理的SOP。分别对两组患者术后3、6个月的尿失禁发生情况、严重程度(1h尿垫试验)、生活质量(尿失禁生活质量量表)及舒适度(舒适度量表)进行比较。结果:观察组术后3、6个月尿失禁发生率分别为36.51%、19.05%,对照组分别为53.97%、38.10%,两组患者术后6个月尿失禁发生率均显著低于术后3个月(P<0.05),且观察组术后3、6个月尿失禁发生率均显著低于对照组(P<0.05)。术后3个月尿失禁生活质量得分对照组为(56.17±12.75)分、观察组为(70.41±14.50)分，术后3个月舒适度得分对照组为(52.73±11.26)分、观察组为(63.49±13.52)分；术后6个月尿失禁生活质量得分对照组为(64.70±11.38)分、观察组为(85.41±12.04)分，术后6个月舒适度得分对照组为(60.96±8.04)分、观察组为(83.49±6.35)分，两组患者术后6个月尿失禁生活质量得分和舒适度得分都比术后3个月有明显的改善，且观察组较对照组的改善更加明显(P<0.05)。术后3、6个月两组尿失禁发生的程度相比较差异均有统计学意义(P<0.05)。结论:针对根治性前列腺切除术患者执行SOP管理能够有效地降低患者术后尿失禁的发生，促进患者术后控尿能力的恢复，增加患者术后的舒适度以及减轻患者术后尿失禁的程度。更多还原

【Abstract】 Objective: To explore the effect of evidence-based standardized procedures(SOP) on urinary incontinence management in patients with radical prostatectomy. Methods: Sixty-three patients who underwent radical prostatectomy from October 2022 to September 2023 were included in the control group. And 63 patients who underwent radical prostatectomy from October 2023 to September 2024 were included in the observation group. The patients in the control group received routine perioperative care. As an addition, the SOP on urinary incontinence management was performed in the patients of observation group. The incidence of urinary incontinence, severity of urinary incontinence(1h urine pad test), quality of life(Incontinence Quality of Life Questionnaire) and comfort level(General Comfort Question) of the two groups were compared after 3 and 6 months of surgery. Results: The incidence of urinary incontinence at 3 and 6 months after operation in the observation group was 36.51% and 19.05%, respectively, which were lower than those(53.97% and 38.10%) of the control group, respectively. And the incidence rates of the two groups decreased significantly(P<0.05).The score of life quality after 3 months of operation was(56.17±12.75) in the control group, which was lower than that(70.41±14.50) of the observation group. The 3-month postoperative comfort score was(52.73±11.26) in the control group and(63.49±13.52) in the observation group. The 6-month postoperative incontinence quality of life score was(64.70±11.38) in the control group and(85.41±12.04) in the observation group. And the 6-month postoperative comfort score was(60.96±8.04) in the control group and(83.49±12.04) in the observation group. The quality of life and comfort scores of the two groups 6 months after operation were significantly improved than those 3 months after operation, and the improvement of the observation group was more obvious than that of the control group(P<0.05). There were significant differences in the degree of urinary incontinence between the two groups at 3 months and 6 months after operation(P<0.05). Conclusion: SOP management for the patients underwent radical prostatectomy can be an effective method for reducing the incidence of postoperative urinary incontinence, which promotes the recovery of postoperative urinary control.更多还原