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題名:
骨盆底肌肉運動對經尿道前列腺切除術後排尿成效之探討
書刊名:
長庚護理
作者:
蔡麗紅
/
高紀惠
/
徐麗華
/
張慧朗
/
潘璦婉
作者(外文):
Tsai, L. H.
/
Kao, C. H.
/
Shu, L. H.
/
Chang, P. L.
/
Pan, A. W.
出版日期:
1997
卷期:
8:2=18
頁次:
頁68-80
主題關鍵詞:
經尿道前列腺切除術
;
尿失禁
;
骨盆底肌肉運動
;
TURP
;
Trans-urethral resection of prostate
;
Urinary incontinence
;
PFME
;
Pelvic floor muscle exercise
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:0
共同引用:0
點閱:28
前列腺肥大阻塞膀胱出口,患者需接受經尿道前列腺切除術(TURP)以解決其阻塞 問題。手術後在導尿管拔除後,患者會有頻尿、急尿、滴尿等小便控制差等現象,患者常為 此而心情低落,因此如何協助患者早日獲得正常排尿是一個重要課題。本研究目的即是探討 骨盆底肌肉運動對 TuRP 術後病人解尿間隔時間、尿失禁程度、尿流速程度與生活滿意度的 影響。本研究採準實驗法,以立意取樣選取某醫學中心 75 位 TURP 病人,分派實驗組、對 照 I 組與對照 II 組各 25 人。 實驗組教導執行骨盆底肌肉運動,並以衛教手冊說明,而 對照組只接受常規護理。研究結果顯示:1. 三組病人基本屬性資料無顯著差異:2. 執行骨 盆底肌肉運動後,實驗組病人出院後延長解尿間隔時間比對照 I 組為早 (第 1 週 vs 第 3 週 );3. 執行骨盆底肌肉運動後,實驗組病人尿失禁程度較對照 I 組明顯改善; 4. 執行 骨盆底肌肉運動後,兩組 (實驗組、對照 I 組 ) 病人在尿流速改變程度未達顯著差異;5. 執行骨盆底肌肉運動的實驗組病人,在社會層面的滿意度比對照 I 組好; 另外在情緒層面 、性關係層面、生活整體滿意度則無顯著差異。由此可見,針對 TURP 術後有排尿問題病人 執行骨盆底肌肉運動,可延長解尿間隔時間、減輕尿失禁症狀與增加病人社會層面生活滿意 度。
以文找文
BPH can induce the obstruction of bladder outlet. Many patients need to resolve their obstructive problem by receiving the surgery of Transurethral resection prostate (TURP). However some patients will experience the symptoms of urinary frequency, urgency, dripping etc. after removing the Foley tube. Therefore, it is very important to help the patient resolving the urinary problem after surgery. The purposes of this study were to explore the effect of pelvic floor muscule exercise (PFME) on the intervoiding interval, uroflowmetry, urinary incontinence and satisfaction of life of the TURP patients. A Quasi-experiment study was designed and 75 patients were consecutively assigned to experimental group (EG,N=25), control group I (CG I,N=25) and control group II (CG II,N=25). The PFME was implemented on EG whereas CG received routine care. The results indicated as follows:(1) There was no significant difference in demographic data among three groups.(2)EG presented an improved intervoiding interval than CG I(one week Vs there week).(3)EG presented a less degree of urinary incontinence than CG I.(4)There was no significant difference in uroflowmetry between two groups.(5)EG presented a better of social dimension than CG I.However, there was no significant difference in emotion, sexuality and total life satisfaction dimensions between two group. The results of this study indicated that the pelvic floor muscle exercise was an effective nursing intervention for TURP patients in clinical setting.
以文找文
期刊論文
1.
Cammu, H.、DeBruyne, R.、Nylen, M. V.、Amy, J. J.、Derde, M. P.(1991)。Pelvic physiotherapy in genuine stress incontinence。Urology,38(4),333-337。
2.
Bump, R. C.、Hurt, W. G.、Fantal, A.、Wyman, J. F.(1991)。Assessment of Kegel pelvic muscle exercise performance after brief verbal instruction。American Journal of Obstetrics Gynecology,165(2),322-329。
3.
Bo, K.、Hagen, R. H.、Kvarstein, B.、Jorgensen, J.、Larsen, S.(1990)。Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: III effects of two different degrees of pelvic floor muscle exercises。Neurourology and Urodynamics,9,489-502。
4.
郭漢崇(19911200)。尿路動態機能檢查之臨床應用(11):前列腺肥大手術後尿失禁之判定及處置。慈濟醫學,3(4),343-348。
延伸查詢
5.
Dougherty, M.、Bishop, K.、Mooney, R.、Gimotty, P.、Williams, B.(1993)。Graded pelvic muscle exercise: effect on stress urinary incontinence。The Journal of Reproductive Medicine,38(9),684-691。
6.
Creason, N. S.、Burgener, S. C.、Farrand, L.(1992)。Guidelines for assessment incontinence in elderly institutionalized women。Geriatric Nursing,5,76-79。
7.
Chaiken, D. C.、Blaivas, J. G.、Blaivas, S. T.(1993)。Behavioral treatment of refractory interstitial cystitis。The Journal of Urology,149(6),1445-1448。
8.
Burgio, K. L.、Whitehead, W. E.、Engel, B. T.(1985)。Urinary incontinence in the elderly: bladder-sphincter biofeedback and toileting skills training。Annals of Internal Medicine,104,507-515。
9.
Grimby, A.、Milsom, I.、Molander, U.、Wiklund, I.、Ekelund, P.(1993)。The influence of urinary incontinence on Quality of Life of elderly women。Age and Ageing,22,82-89。
10.
Goluboff, E. T.、Chang, D. T.、Olsson, C. A.、Kaplan, S. A.(1995)。Urodynamics and the etiology of post-prostatectomy urinary incontinence: the initial Columbia experience。Journal of Urology,153(3, Pt. 2),1034-1037。
11.
Fowler, F. J.、Wennberg, J. E.、Timothy, R. P.、Bomy, M. L.、Mulley, A. G.、Hanley, D.(1988)。Symptom status and quality of life following prostatectomy。Journal of the American Medical Association,259(20),3018-3022。
12.
Fitzpatrick, J. M.、Gardiner, R. A.、Worth, P. H. L.(1979)。The Evaluation of 68 Patients with Post-prostatectomy Incontinence。British Journal of Urology,51(6),552-555。
13.
Elia, G.、Bergman, A.(1993)。Pelvic muscle exercises: when do they work?。Obstetrics & Gynecology,81(2),283-286。
14.
Sloane, B.、Baum, N.(1988)。Urinary incontinence in women: Evaluation in the primary-care office。Postgraduate Medicine,84(5),251-262。
15.
Politano, V. A.(1992)。Transurethral polytef injection for post-prostatectomy urinary incontinence。British Journal of Urology,69(1),26-28。
16.
Meoglia, J. P.、Joseph, A. C.、Chang, M.、Schmidt, J. D.(1990)。Post-prostatectomy urinary incontinence: response to behavioral training。Journal of Urology,144(3),674-676。
17.
Hunskaor, S.、Vinsnes, A.(1991)。The quality of life in women with urinary incontinence as measured by the sickness impact Profile。Journal of the American Geriatrics Society,39(4),378-382。
18.
Hahn, I.、Milsom, I.、Ekelund, P.、Fall M.(1993)。Long-term results of pelvic floor training female stress urinary incontinence。British Journal of Urology,72(4),421-427。
19.
Burgio, K. L.(1990)。Behavioral training for stress and urge incontinence in the community。Gerontology,36(suppl.2),27-34。
20.
Botes, P.、Bradley, W. E.、Glen, E.、Griffiths, D.、Melchior, H.、Rowan, D.、Sterling, A.、Zinner, N.、Hald, T.(1979)。The standardization of Terminology of lower urinary tract function。The Journal of Urology,121(3),551-554。
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