Application of language communication and psychological support in urodynamic examination of patients with benign prostatic hyperplasia

Abstract

Objective To analyze the application value of language communication and psychological support in urodynamic examination of patients with benign prostatic hyperplasia (BPH) . Methods From July 2016 to October 2018, a total of 106 BPH patients who underwent urodynamic examination in the Department of Urology at the First Affiliated Hospital of Kangda College of Nanjing Medical University were enrolled as subjects. They were divided into the observation groups and the control group by random number table method, with 53 cases in each group. The control group was given routine nursing. The observation group was given language communication and psychological support intervention besides routine nursing. The incidence of abnormal abdominal pressure changes, unnatural detrusor contraction, and unnatural external urethral sphincter contraction, examination time, and examination success rate were compared between the two groups. At 20 min before the start of examination (T1) , 10 min after the start of examination (T2) , and 10 min after end of the examination (T3) , changes in hemodynamics indexes [systolic blood pressure (SBP) , diastolic blood pressure (DBP) , heart rate (HR) ]were also analyzed. The pain grading and incidence of complication during examination were compared too. Results The incidence of abnormal abdominal pressure changes, unnatural detrusor contraction, and unnatural external urethral sphincter contraction in the observation group was lower than that in the control group (P<0.05) . The examination time in the observation group was shorter than that in the control group, while the examination success rate was higher than that in the control group (P<0.05) . At T2, SBP, DBP and HR in the observation group were lower than those in the control group. At T3, SBP and DBP in observation group were lower than those in control group (P<0.05) . The pain grade of the observation group was lower than that of the control group (P<0.05) . The incidence of bladder irritation, fever, hematuria and dysuria in the observation group was lower than that in the control group (P<0.05) . Conclusions The application of language communication and psychological support in urodynamic examination for BPH patients can effectively improve examination efficiency, reduce hemodynamic fluctuations and pain, prevent or reduce complications risks so it is worth promoting in clinical practices. Key words: Prostatic hyperplasia; Urodynamic examination; Language communication; Psychological support