Doctor-integrated-with-nurse hierarchical responsibility nursing system for patients with benign prostatic hyperplasia

Abstract

Objective To explore the effect of doctor-integrated-with-nurse hierarchical responsibility nursing system for patients with benign prostatic hyperplasia. Methods A total of 92 patients who underwent transurethral resection of benign prostatic hyperplasia were enrolled in our hospital from January, 2017 to January, 2019, and were randomly divided into a control group and a study group. The control group were cared in terms of the routine responsibility system, and the study group in terms of doctor-integrated-with-nurse hierarchical responsibility nursing system. The levels of inflammatory response factors, quality of life, and postoperative complications were compared between the two groups. Results There were no statistical differences in the levels of inflammatory response factors before the intervention between the two groups (all P>0.05); after the intervention, the levels of CRP, TNF-α, and IL-6 were (71.20±8.27) mg/L, (25.74±4.33) ng/L, and (30.87±4.96) ng/L in the study group, and were (95.14±9.65) mg/L, (36.41±7.58) ng/L, and (43.28±6.24) ng/L in the control group (all P<0.05). There were no statistical differences of the scores of quality of life between these two groups before the intervention; and after the intervention, the scores of social function, physical function, role function, and cognition were (72.6±2.5), (75.4±3.1), (76.2±3.1), and (73.2±5.5) in the study group, and were (58.8±4.9), (63.4±3.6), (66.7±2.8), and (53.4±4.1) in the control group (all P<0.05). The incidence of postoperative complications, such as urethral stricture, bladder neck contracture, and hematuria, in the study group was 10.9%, and that in the control group was 23.92% (P<0.05). Conclusion In the treatment of benign prostatic hyperplasia by transurethral surgery, the application of doctor-integrated-with-nurse hierarchical responsibility nursing system can improve the patients’ quality of life, reduce the incidence of complications and the levels of inflammatory factors, so it is worth for promotion. Key words: Doctor-integrated-with-nurse hierarchical responsibility nursing system; Transurethral surgery; Benign prostatic hyperplasia; Patients with inflammatory response