精索静脉曲张术后睾丸坠痛情况及其中西医结合护理模式干预效果
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摘要
目的对精索静脉曲张术后睾丸坠痛情况进行调查,并探索中西医结合护理模式干预效果。方法选择2015年6月至2018年5月在该院行手术治疗的148例精索静脉曲张患者为研究对象,采用随机数字表法将患者分为两组,每组各74例。对照组行常规西医护理,观察组在此基础上加以中医护理。比较两组患者疼痛、生活质量、负性情绪及护理满意度。结果干预后两组患者疼痛均明显改善,但观察组改善更为明显,干预后两组患者数字疼痛评分比较,差异有统计学意义(P<0.05)。干预后两组患者生活质量评分均明显升高,但观察组升高幅度更大,干预后两组患者生活质量评分比较,差异有统计学意义(P<0.05)。干预后两组患者抑郁与焦虑自评量表评分均明显下降,但观察组下降幅度明显更大,干预后两组患者评分比较,差异均有统计学意义(P<0.05)。观察组护理满意度得分明显高于对照组,差异有统计学意义(P<0.05)。结论精索静脉曲张术后患者存在一定程度的睾丸坠痛,中西医结合护理较常规西医护理可明显缓解患者疼痛,提高生活质量,改善负性情绪,提高护理满意度。
Objective To investigate the condition of testicular drop pain after varicocele operation and explore the effect of nursing intervention with integrated traditional Chinese and western medicine.Methods A total of 148 patients with varicocele who underwent surgery in Dazhou Integrated TCM&Western Medicine Hospital from June 2015 to May 2018 were enrolled.Patients were divided into two groups using a random number table method,with 74 cases in each group.The control group received routine western medical care,and the observation group was given traditional Chinese medicine care.The pain,quality of life,negative emotions and nursing satisfaction of the two groups were compared.Results After the intervention,the pain of both groups improved significantly,but the improvement of the observation group was more obvious,the difference on numerical rating scale scores of the two groups after the intervention was statistically significant(P<0.05).After intervention,the quality of life in the two groups significantly increased,but the increase of the observation group was greater,the difference on quality of life score of the two groups after the intervention was statistically significant(P<0.05).After the intervention,the SAS and SDS score of the two groups significantly decreased,but the decline of the observation group was significantly greater,the differences on SAS and SDS score of the two groups after the intervention were statistically significant(P<0.05).The nursing satisfaction score of the observation group was significantly higher than that of the control group(P<0.05).Conclusion There is a certain degree of testicular pain in patients after varicocele operation.The combination of traditional Chinese and western medicine can significantly alleviate patients′pain,improve their quality of life,improve negative emotions and improve nursing satisfaction.
Objective To investigate the condition of testicular drop pain after varicocele operation and explore the effect of nursing intervention with integrated traditional Chinese and western medicine.Methods A total of 148 patients with varicocele who underwent surgery in Dazhou Integrated TCM&Western Medicine Hospital from June 2015 to May 2018 were enrolled.Patients were divided into two groups using a random number table method,with 74 cases in each group.The control group received routine western medical care,and the observation group was given traditional Chinese medicine care.The pain,quality of life,negative emotions and nursing satisfaction of the two groups were compared.Results After the intervention,the pain of both groups improved significantly,but the improvement of the observation group was more obvious,the difference on numerical rating scale scores of the two groups after the intervention was statistically significant(P<0.05).After intervention,the quality of life in the two groups significantly increased,but the increase of the observation group was greater,the difference on quality of life score of the two groups after the intervention was statistically significant(P<0.05).After the intervention,the SAS and SDS score of the two groups significantly decreased,but the decline of the observation group was significantly greater,the differences on SAS and SDS score of the two groups after the intervention were statistically significant(P<0.05).The nursing satisfaction score of the observation group was significantly higher than that of the control group(P<0.05).Conclusion There is a certain degree of testicular pain in patients after varicocele operation.The combination of traditional Chinese and western medicine can significantly alleviate patients′pain,improve their quality of life,improve negative emotions and improve nursing satisfaction.
引文
[1]ESTEVES S C,ROQUE M,AGARWAL A.Outcome of assisted reproductive technology in men with treated and untreated varicocele:systematic review and meta-analysis[J].Asian J Androl,2016,18(2):254-258.
[2]ESTEVES S C,MIYAOKA R,ROQUE M,et al.Outcome of varicocele repair in men with nonobstructive azoospermia:systematic review and meta-analysis[J].A-sian J Androl,2015,18(2):246-253.
[3]吴科荣,苏新军,王国耀,等.精索静脉结扎术后阴囊疼痛改善的预测因子[J].中国男科学杂志,2014,28(1):43-47.
[4]PYO J S,CHO W J.Mean platelet volume,platelet distribution width,and platelet count in varicocele:a systematic review and Meta-Analysis[J].Cell Physiol Biochem,2016,38(6):2239-2246.
[5]王万荣,谭艳,谢胜,等.EAU、AUA-ASRM、中国精索静脉曲张诊疗指南解读[J].世界最新医学信息文摘,2015,15(50):13-14.
[6]谭秋华,冯锦芳.精索静脉曲张患者心理健康状况调查与护理[J].国际护理学杂志,2013,32(1):143-144.
[7]段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679.
[8]牛洪艳,倪静玉,张玲,等.护理满意度量表在临床住院病人中应用的信效度研究[J].护理研究,2016,30(3):287-290.
[9]KOHN T P,OHLANDER S J,JACOB J S,et al.The effect of subclinical varicocele on pregnancy rates and semen parameters:a systematic review and Meta-Analysis[J].Curr Urol Rep,2018,19(7):53-58.
[10]祝清清,张克勤,周青松,等.慢性睾丸疼痛临床护理[J].世界中医药,2015,10(a01):306.
[11]李小艳,王成昳,周青松,等.显微镜辅助下精索神经损毁治疗慢性睾丸疼痛的护理[J].河南中医,2014,34(b11):477-478.
[12]方剑乔,邵晓梅.针刺镇痛的新思路--针灸参与疼痛多维度调节的可行性[J].针刺研究,2017,42(1):85-89.
[13]芦殿香,芦殿荣,刘莹莹,等.足三里、内关针灸治疗癌性疼痛的中医基础理论及当代研究概况[J].世界中西医结合杂志,2017,12(5):593-597.
[14]AGARWAL A,SHARMA R,HARLEV A,et al.Effect of varicocele on semen characteristics according to the new 2010World Health Organization criteria:a systematic review and meta-analysis[J].Asian J Androl,2016,18(2):163-170.
[15]MARMAR J L.The evolution and refinements of varicocele surgery[J].Asian J Androl,2016,18(2):171-178.
[2]ESTEVES S C,MIYAOKA R,ROQUE M,et al.Outcome of varicocele repair in men with nonobstructive azoospermia:systematic review and meta-analysis[J].A-sian J Androl,2015,18(2):246-253.
[3]吴科荣,苏新军,王国耀,等.精索静脉结扎术后阴囊疼痛改善的预测因子[J].中国男科学杂志,2014,28(1):43-47.
[4]PYO J S,CHO W J.Mean platelet volume,platelet distribution width,and platelet count in varicocele:a systematic review and Meta-Analysis[J].Cell Physiol Biochem,2016,38(6):2239-2246.
[5]王万荣,谭艳,谢胜,等.EAU、AUA-ASRM、中国精索静脉曲张诊疗指南解读[J].世界最新医学信息文摘,2015,15(50):13-14.
[6]谭秋华,冯锦芳.精索静脉曲张患者心理健康状况调查与护理[J].国际护理学杂志,2013,32(1):143-144.
[7]段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679.
[8]牛洪艳,倪静玉,张玲,等.护理满意度量表在临床住院病人中应用的信效度研究[J].护理研究,2016,30(3):287-290.
[9]KOHN T P,OHLANDER S J,JACOB J S,et al.The effect of subclinical varicocele on pregnancy rates and semen parameters:a systematic review and Meta-Analysis[J].Curr Urol Rep,2018,19(7):53-58.
[10]祝清清,张克勤,周青松,等.慢性睾丸疼痛临床护理[J].世界中医药,2015,10(a01):306.
[11]李小艳,王成昳,周青松,等.显微镜辅助下精索神经损毁治疗慢性睾丸疼痛的护理[J].河南中医,2014,34(b11):477-478.
[12]方剑乔,邵晓梅.针刺镇痛的新思路--针灸参与疼痛多维度调节的可行性[J].针刺研究,2017,42(1):85-89.
[13]芦殿香,芦殿荣,刘莹莹,等.足三里、内关针灸治疗癌性疼痛的中医基础理论及当代研究概况[J].世界中西医结合杂志,2017,12(5):593-597.
[14]AGARWAL A,SHARMA R,HARLEV A,et al.Effect of varicocele on semen characteristics according to the new 2010World Health Organization criteria:a systematic review and meta-analysis[J].Asian J Androl,2016,18(2):163-170.
[15]MARMAR J L.The evolution and refinements of varicocele surgery[J].Asian J Androl,2016,18(2):171-178.