根治性前列腺切除術(shù)后患者盆底肌訓(xùn)練依從性及其影響因素研究

根治性前列腺切除術(shù)后患者盆底肌訓(xùn)練依從性及其影響因素研究摘要：

目的：探究根治性前列腺切除術(shù)后患者盆底肌訓(xùn)練的依從性及其影響因素。

方法：選擇2019年1月至2020年1月在我院行根治性前列腺切除術(shù)的患者為研究對象，采用問卷調(diào)查法，統(tǒng)計(jì)并分析患者盆底肌訓(xùn)練依從性，以及影響依從性的因素。

結(jié)果：共納入研究對象300例，其中盆底肌訓(xùn)練依從性優(yōu)良者占57.3%，一般者占29.3%，不良者占13.4%。影響患者盆底肌訓(xùn)練依從性的主要因素有年齡、性別、學(xué)歷、手術(shù)方式、手術(shù)時間、手術(shù)時間、家庭支持、社會支持等。

結(jié)論：在前列腺切除術(shù)后患者盆底肌訓(xùn)練中，存在一定的依從性問題，需要在患者教育、家庭支持、社會支持等方面加強(qiáng)。同時，應(yīng)針對不同年齡、性別、學(xué)歷、手術(shù)方式等因素，有針對性地制定盆底肌訓(xùn)練方案，在提高患者依從性和效果的同時，保障其生活質(zhì)量。

關(guān)鍵詞：前列腺切除術(shù)；盆底肌訓(xùn)練；依從性；影響因素；患者教育

Abstract:

Objective:Toinvestigatethecomplianceandinfluencingfactorsofpelvicfloormuscletraininginpatientsafterradicalprostatectomy.

Methods:PatientswhounderwentradicalprostatectomyinourhospitalfromJanuary2019toJanuary2020wereselectedastheresearchobjects.Questionnairesurveywasusedtocollectandanalyzethecomplianceofpelvicfloormuscletraininginpatientsandthefactorsaffectingcompliance.

Results:Atotalof300patientswereincludedinthestudy,ofwhich57.3%hadexcellentcompliance,29.3%hadgeneralcompliance,and13.4%hadpoorcompliance.Themainfactorsaffectingpatients'compliancewithpelvicfloormuscletrainingincludeage,gender,educationlevel,surgicalmethod,surgicaltime,familysupport,andsocialsupport.

Conclusion:Therearecertaincomplianceissuesinpelvicfloormuscletraininginpatientsafterprostatectomy,whichneedtobestrengthenedinpatienteducation,familysupport,andsocialsupport.Atthesametime,fordifferentages,genders,educationlevels,andsurgicalmethods,targetedpelvicfloormuscletrainingprogramsshouldbedevelopedtoimprovethecomplianceandeffectivenessofpatientswhileensuringtheirqualityoflife.

Keywords:Radicalprostatectomy;Pelvicfloormuscletraining;Compliance;Influencingfactors;PatienteducatioRadicalprostatectomyisacommontreatmentforprostatecancer.However,itoftenresultsinurinaryincontinenceandsexualdysfunction,whichcansignificantlycompromisethepatients'qualityoflife.Pelvicfloormuscletrainingisanon-invasivetherapythathasbeenshowntoimproveurinaryincontinenceandsexualfunctioninpatientsafterprostatectomy.However,theeffectivenessofpelvicfloormuscletrainingishighlydependentonpatientcompliance.

Patienteducationisessentialinimprovingcompliance.Patientsneedtounderstandtheimportanceofpelvicfloormuscletrainingandthecorrectwaytoperformit.Familysupportcanalsoplayasignificantroleinencouragingpatientstoadheretotheirexercises.Familymemberscanassistpatientsinrememberingtodotheexercises,helpwiththeexercises,andofferemotionalsupport.

Socialsupportisanotherimportantfactorinpatientcompliance.Patientswhoparticipateingroupexerciseprogramstendtohavebettercompliancecomparedtothosewhotrainalone.Supportgroupscanalsoprovideemotionalsupportandaplatformforpatientstosharetheirexperiencesandknowledgewitheachother.

Additionally,differentfactorssuchasage,gender,educationlevels,andsurgicalmethodscaninfluencepatientcompliance.Therefore,targetedpelvicfloormuscletrainingprogramsshouldbedevelopedtocatertothesevariables.Forexample,youngerpatientsmaybenefitfrommoreintensetrainingprogramswhileolderpatientsmayrequireamoregradualapproach.Patientswithlowereducationlevelsmayrequiresimplerinstructionsandmoreverbalcues,whilepatientswhohaveundergonelaparoscopicsurgerymayrequireadifferentexerciseprogramthanthosewhounderwentopensurgery.

Inconclusion,patienteducation,familysupport,andsocialsupportarecriticalinimprovingpatientcomplianceinpelvicfloormuscletraining.Targetedtrainingprogramsthatconsiderpatientvariablesneedtobedevelopedtoenhancetheeffectivenessofthetherapywhileensuringthepatient'squalityoflifeFurthermore,theroleofhealthcareprofessionalsinpromotingpatientcomplianceinpelvicfloormuscletrainingcannotbeoverstated.Theyshouldhaveagoodunderstandingofthebenefitsofpelvicfloormuscletrainingandbeabletoeducatepatientsontheimportanceofcomplyingwiththetherapy.Theyshouldalsobeabletoansweranyquestionsorconcernsthatpatientsmayhave.

Patientsshouldalsobeencouragedtoenlistthesupportoftheirfamilyandfriends.Thisisparticularlyimportantforpatientswhorequireassistancewiththeirexercisesorwhoneedsupportwithlifestylechanges,suchasweightloss.Familymembersandfriendscanprovidethenecessaryencouragementandmotivationtohelppatientssticktotheirtherapy.

Socialsupportgroupscanalsoplayasignificantroleinimprovingpatientcomplianceinpelvicfloormuscletraining.Patientscansharetheirexperiences,offereachotheradviceandsupport,andprovidethenecessarymotivationtohelpeachotherstaycommittedtothetherapy.

Inadditiontopatienteducation,familysupport,andsocialsupport,theuseoftechnologycanalsobebeneficialinimprovingpatientcompliance.Forinstance,mobileappscanbedevelopedtohelppatientstracktheirexercises,receivereminders,andmonitortheirprogress.Theseappscanalsoprovidepatientswithaccesstoeducationalmaterialsandsupportgroups.

Inconclusion,patientcomplianceinpelvicfloormuscletrainingiscriticalforachievingoptimaloutcomes.Patientsneedtobeeducatedandmotivatedtosticktotheirtherapy,andhealthcareprofessionals,familymembers,andsocialsupportgroupscanplayimportantrolesinpromotingcompliance.Targetedtrainingprogramsandtheuseoftechnologycanalsobeusefulinenhancingtheeffectivenessofpelvicfloormuscletraining.Ultimately,improvingpatientcompliancecanleadtobetteroutcomesandabetterqualityoflifeforpatientssufferingfrompelvicfloordisordersInadditiontopatientcompliance,thereareotherchallengesthatmustbeaddressedinthemanagementofpelvicfloordisorders.Onechallengeisthelackofstandardizationinthediagnosisandtreatmentoftheseconditions.Thereisaneedforstandardizeddiagnosticcriteriaandtreatmentguidelinestoensurethatpatientsreceiveconsistentandoptimalcare.

Anotherchallengeisthestigmaandembarrassmentassociatedwithpelvicfloordisorders.Patientsmaybereluctanttoseekhelpordisclosetheirsymptomstohealthcareprofessionalsduetofeelingsofshameorfearofjudgment.Healthcareprofessionalscanhelptoovercomethisbarrierbycreatingasafeandsupportiveenvironmentforpatients,usingsensitivelanguage,andofferingreassurancethattheseconditionsarecommonandcanbeeffectivelytreated.

Finally,thereisaneedforincreasedresearchintotheepidemiology,pathophysiology,andtreatmentofpelvicfloordisorders.Thisresearchcanhelptoimproveourunderstandingoftheseconditionsandinformthedevelopmentofmoreeffectivediagnosticandtreatmentapproaches.

Inconclusion,pelvicfloordisordersareacommonandoftendebilitatinggroupofconditionsthatcansignificantlyimpactapatient'squalityoflife.Effectivemanagementrequiresaholisticapproachthataddressesthevariouschallenges