Application of refined nursing intervention in prevention of postoperative urethral stenosis in patients undergoing hypospadias
10.7619/jcmp.201812028
- VernacularTitle:精细化护理干预在预防行尿道下裂术患者术后尿道狭窄中的应用研究
- Author:
Maomei DOU
1
;
Wenhong WU
;
Yanhua YANG
;
Rong ZHANG
;
Xiuzhen JI
Author Information
1. 中国医学科学院整形外科医院C3护士站
- Keywords:
hypospadias;
refined nursing intervention;
urethral stricture;
urinary extravasation
- From:
Journal of Clinical Medicine in Practice
2018;22(12):94-97
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the application of refined nursing intervention in prevention of postoperative urethral stricture in patients with hypospadias.Methods A total of 144 patients who underwent hypospadias surgery in our hospital were selected as study subjects,and were divided into control group and observation group by random number table method,with 72 cases per group.Both groups were treated with targeted surgery according to severity and different sites of hypospadias.The patients in the control group performed routine nursing intervention during the perioperative period,while the patients in the observation group were given refined nursing intervention on the basis of the control group.The response rate,incidence rates of postoperative complications and hypospadias were evaluated.Results The total response rate in the observation group was higher than that in the control group (P ＜ 0.05).After nursing,the incidence rate of postoperative complications such as bleeding,urinary fistula,infection,and urine extravasation was lower in the observation group than that in the control group[6.94％ (5/72) vs.(18.06％) (13/72),P ＜0.05).After nursing,the total incidence rate of mild and severe urethral stricture in the observation group was lower than that in the control group [(2.78％ (2/72) vs.12.50％ (9/72),P＜0.05).Conclusion Refined nursing intervention for patients with hypospadias can effectively enhance treatment efficacy,reduce postoperative complications,and prevent urethral stricture,thereby to improve the prognosis of the disease.
