·616·CHINESE EVIDENCE-BASED NURSING February,2023 Vol.9 No.4前列腺癌根治术后病人留置尿管出院计划证据总结徐博，盖琼艳”，徐秋宁，卢山，傅巧美，李萍，邢星敏，陈璐南京大学医学院附属鼓楼医院，江苏210008Summary of evidence for discharge plan of patients with indwelling catheter after radical prostatectomyXU Bo,GAI Qiongyan.XU Qiuning,LU Shan,FU Qiaomei,LI Ping,XING Xingmin,CHEN LuNanjing Drum Tower Hospital.The Affiliated Hospital of Nanjing University Medical School.Jiangsu 210008 ChinaCorresponding Author GAI Qiongyan,E-mail:gaiqiongyan@126.comAbstract Objective:To search,evaluate and summarize the best nursing evidence of the discharge plan of patients with indwellingcatheter after radical prostatectomy,so as to provide reference for clinical nursing work.Methods:High-level evidence on the dischargeplan of patients with indwelling catheter after radical prostatectomy was searched from the best clinical practice of BMJ.Up To Dateelinical decision system,RNAO,NICE,SIGN.JBI evidence-based health care database,the Cochrane Library and other evidence-basedresource databases,PubMed,CBM and other comprehensive databases,as well as AUA,EUA.AUA website.The retrieval time wasfrom inception to May 2021.Results:A total of 9 articles were included,including 1 clinical decision.3 clinical guidelines,3 expertconsensus,and 2 evidence summaries.Finally,14 pieces of best evidence were obtained.Conclusion:The clinical nursing staff shouldfollow the best evidence of the discharge plan of patients with indwelling catheter after radical prostatectomy,and standardize theapplication of the evidence,ultimately reduce the incidence of complications of patients with indwelling catheter,and improve themastery rate of nursing knowledge and skills of patients with indwelling catheter.Keywords prostate cancer:postoperative complications:indwelling catheter:discharge plan:summary of evidence摘要目的：检索、评价和汇总前列腺痛根治术后病人留置尿管出院计划的护理最佳证据，为临床护理工作提供参考。方法：计算机检索BM)最佳临床实践、Up To Date临床决策系统、加拿大安大略省注册护士协会网(RNAO)、英国国家卫生与临床优化研究所(NICE)、苏格兰院际间指南网(SIGN),Joanna Briggs Institute(JBI)循证卫生保健数据库，the Cochrane Library等循证资源数据库，PubMed、中国生物医学文献数据库等综合数据库以及美国泌尿外科学会(AUA)、歌洲泌尿外科学会(EAU)、加拿大泌尿外科学会(CUA)网站关于前列腺痛根治术后病人至尿管出院计划高铖别证据，检索时限从建库至2021年5月。结果：共纳入9篇文献，包括临床决策1篇，临床描南3篇，专家共识3篇，证据总结2篇，最终获取14条最佳证据。结论：临床护理人员应遵循前列腺癌根治术后病人留置尿管出院计划最佳证据，并规范应用证据，最终降低病人留置尿管并发症发生幸，提高病人留置尿管护理知识技能掌握率。关键词前列腺痛：术后并发症：留宽尿管，出院计刻：证据总结d0i:10.12102/5.issn.2095-8668.2023.04.007前列腺癌(prostate cancer)多为起源于前列腺腺关性死因)。机器人辅助下的腹腔镜前列腺癌根治术体的一类恶性肿瘤，好发于50岁以上男性，易引起排是目前治疗早期局限性前列腺癌的首选方法，但由于尿困难、血尿或局部疼痛四。在我国，前列腺癌发病率括约肌损伤、膀胱功能障碍、膀胱出口或尿道梗阻、逼和死亡率逐渐上升，是继肺癌之后第二大男性癌症相尿肌不稳定等因素，术后病人存在膀胱痉李、排尿困难、尿失禁等诸多复杂的护理问题，其发生率为6,8%~32.1%)。因此，为了保持尿道膀胱吻合术的完整性基金项目2022年度南京鼓楼医院护理科研立项重点项目，编号：2022-B1854:2022年度鼓楼医院临床研究专项资金面上项和降低尿道瘘形成的风险，术后需要强制性留置尿管。目，编号：2022-LCYJ-MS-10许多病人会对术后留置尿管感到不适，膀胱尿管相关作者简介徐博，主管护师，硕士研究生疼痛的发生率在第1天远远超过50%)，且病人自诉*通讯作者盖琼艳，E尼mail:gaiqiongyan(@126.com的导管问题发生率高达6.8%一32.1%)。这不仅影引用信息徐博，盖琼艳，徐秋宁，等前列腺癌根治术后病人留响术后康复进程，还会对病人的身心健康、自我效能以置尿管出院计划的证据总结[J门.循证护理，2023,9(4)：616-620.及总体生活质量造成负面影响，故让病人掌握前列腺(C)1994-2023 China Academic Journal Electronic Publishing House.
