BACKGROUND:Prostate cancer (PC) is one of the most familiar disease of the male reproductive system globally. In treating the clinically localized PC, the radical prostatectomy is regarded as a gold standard, but it is associated with syndromes as urinary incontinence (UI), which can have a significant impact on patients' quality of life. Nurse takes responsibility in the management of the UI for their convenience compared with doctors to contact with patients and build better trust relationships with survivals. However, most of the studies focus on the physiological level, the psychological nursing intervention research is less. The purpose of the trial is to introduce a psychological intervention program and to study its effects on anxiety and depression after prostatectomy in IU patients. METHODS:This is a single-center randomized controlled trial that was authorized by Ethics Committee of the First People's Hospital of Chenzhou City (2020054). One hundred participants who undergo radical prostatectomy are analyzed. Inclusion criteria are the following: PC is diagnosed based on histological results; Participants in the study voluntarily sign the informed consent table; Severe UI after extubation; Patients with postoperative UI do not receive any drug treatment. Exclusion criteria are the followings: patients with the history of prostate operation; patients with the history of severe renal and liver malignancy; UI caused by reasons other than prostatectomy. The main outcomes are the degree of anxiety and depression 2 months after urinary catheter is removed. The secondary outcomes are the quality of life 2 months after urinary catheter is removed. All data are collected and analyzed by the Social Science software version 21.0 (SPSS, Inc., Chicago, IL) program. RESULTS:The relevant indexes of severe UI patients are compared in the table. CONCLUSION:Psychological nursing intervention may have a positive effect on depression and anxiety in the UI patients after receiving the radical prostatectomy.

目的 观察全程优质护理对经皮肾镜钬激光碎石术的护理效果。 方法 选取284例拟行经皮肾镜钬激光碎石术肾结石患者作为研究对象，将其按数字表法随机分为对照组(142例)和研究组(142例)。对照组患者采用传统护理，研究组患者采用全程优质护理，对比观察两组患者护理效果、护理满意度、护理质量评价、临床疗效、患者焦虑情况、患者生活质量。 结果 对照组患者护理效果优良率74.6%，与研究组患者(95.1%)对比差异有统计学意义(χ2＝9.237，P 90分(χ2＝5.637，P<0.05)及<70分组比例差异有统计学意义(χ2＝5.922，P<0.05)，两组患者护理质量平均得分[(65.7±3.9)分比(87.6±7.7)分]对比差异有统计学意义(t＝6.199，P<0.05)。两组患者手术时间、术中出血量、术后卧床时间、住院时间及并发症发生率等临床疗效及生活质量对比差异均有统计学意义(t＝6.291、6.533、7.381、8.326、5.937、6.233、5.299、5.306、4.924、4.292、4.716，均P<0.05)。两组患者出院时焦虑发生率和SAS评分对比差异均有统计学意义(χ2＝3.594，t＝5.221，均P<0.05)。 结论 治疗肾结石的微创手术方法首选经皮肾镜钬激光碎石术，具有并发症较少，患者恢复快，创伤出血少，疗效肯定等优点，全程优质护理服务模式是保证手术成功的关键环节之一。

目的通过对肾移植患者进行自我护理指导,提高患者对疾病认知水平,预防并减少并发症发生。方法对21例肾移植患者进行评估、目标制定、护理指导、再评估,评估后进行卡方检验。结果患者自我护理指导前后认知及行为提高,有显著性差异(P<0.01)。结论自我护理指导能提高肾移植患者对疾病的认知水平,增加预防保健知识,对提高生活质量有重要意义。

葡萄球菌性烫伤样皮肤综合征(SSSS)又称葡萄球菌型中毒性表皮坏死松解症,或新生儿剥脱性皮炎,是一种好发于新生儿与婴幼儿的少见病,成人罕见.由凝固酶阳性噬菌体Ⅱ组71型的金黄色葡萄菌产生的表皮剥脱毒素引起[1].我院2000年1月-2007年1月收治SSSS 55例,现报道如下.

嗜铬细胞瘤是发生于嗜铬组织的良性肿瘤,75%发生于肾上腺髓质[1].主要症状为阵发性或持续性高血压,常合并代谢紊乱.本病各年龄均可发生,以青中年最多.我院1995年8月-2005年8月共收治肾上腺嗜铬细胞瘤患者38例,均采用手术治疗,取得满意效果,现将术前、术后护理体会总结如下.

输尿管镜气压弹道碎石术是20世纪90年代初应用于临床的泌尿外科腔内碎石新技术,是目前治疗输尿管中下段结石的首选治疗方法.其原理是压缩气体产生的能量驱动碎石手术内的子弹,子弹高速往返运动时撞击探针,探针冲击结石而产生粉碎结石的效果[1].2004年2月-2005年5月本院运用输尿管镜气压弹道碎石术治疗输尿管结石205例(A组),另选2000年3月-2001年9月行传统开放性输尿管取石术患者174例(B组),现将2种碎石治疗护理特点总结如下.

应用腹腔镜行肾上腺及其肿瘤切除术具有损伤小、恢复快、安全可靠等优点.2003年2月至2004年10月本院共施行腹腔镜手术切除肾上腺肿瘤18例,现将有关护理总结如下.

本院自2000年1月开始自制了一种硬管作为输尿管导管连接器,通过临床观察27例,效果良好,解决了过去使用的橡皮套7号针头作为连接器的诸种弊病.现将其制作和应用方法介绍如下.