目的：探究凯格尔运动联合心理支持对机器人辅助根治性前列腺切除术后尿失禁的影响。方法：选 取 2020 年 8 月—2023 年 8 月陕西省人民医院西咸院区移植泌尿外科收治的 104 例行机器人辅助根治性前列腺切除 术后尿失禁患者实施前瞻性研究，按照随机数字表法分为研究组（52 例）和对照组（52 例）。对照组实施常规护 理配合心理支持，研究组在对照组的基础上实施凯格尔运动。比较两组患者尿控恢复状况、排尿指标、负面情绪及 护理满意度。结果：与对照组相比，研究组尿失禁持续时间更短，术后 1 个月、术后 3 个月尿控情况更好。两组患 者国际尿失禁咨询委员会尿失禁问卷简表（ICIQ-UI SF）评分的时点、组间、交互比较，差异存在统计学意义，术 后 3 个月两组患者 ICIQ-UI SF 评分低于术前 1 个月和术后拔除尿管即刻，且研究组低于对照组。与术后拔除尿管即 刻相比，干预后两组残余尿量（PVR）均降低，最大尿流率（Qmax）、最大逼尿肌压力（MDP）均升高，且与对照 组相比，研究组 PVR 更低，Qmax、MDP 更高。两组患者抑郁自评量表（SDS）评分、焦虑自评量表（SAS）评分的 时点、组间、交互比较，差异有统计学意义，术后 3 个月两组患者 SDS、SAS 评分均低于术前 1 个月和术后拔除尿 管即刻，且研究组低于对照组。与对照组相比，研究组出院时护理满意度更优。结论：凯格尔运动联合心理支持应 用于机器人辅助根治性前列腺切除术后尿失禁可有效促进患者尿控功能恢复，提高排尿功能，改善负性情绪，提升 护理满意度。

Objective: To investigate the effect of Kegel exercise combined with psychological support on urinary incontinence in patients after robot-assisted radical prostatectomy (RARP). Methods: 104 patients who underwent RARP in Xixian Branch of Shaanxi Provincial People’s Hospital from August 2020 to August 2023 were selected for prospective study. They were divided into the study group (n=52) and the control group (n=52) using a random number table. Patients in the control group received conventional nursing intervention with psychological support, and those in the study group received Kegel exercise on the basis of the control group. Urinary control recovery, urination indexes, negative emotions and nursing satisfaction of patients in the two groups were compared. Results: Compared with the control group, the duration of urinary incontinence in the study group was shorter, and the urinary control was better at 1 month and 3 months after surgery. The timepoint, intragroup, and interaction comparisons of the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) scores between the two groups were statistically significant, and the ICIQ-UI SF scores of patients in the two groups 3 months after surgery were lower than those 1 month before surgery and the immediate urinary catheterization, and they were lower in the study group than those in the control group. Compared with the immediate removal of urinary catheter after surgery, post-void residual urine (PVR) was lower, while maximum flow rate (Qmax) and maximal detrusor pressure (MDP) were higher in the two groups after intervention. Comparing with the control group, lower PVR, higher Qmax and MDP were found in the study group. The differences in timepoint, intragroup, and interaction comparisons of self-rating depression scale (SDS) scores and self-rating anxiety scale (SAS) scores were statistically significant between the two groups of patients, SDS and SAS scores were lower in the two groups at 3 months after surgery than that 1 month after surgery and immediate removal of urethral catheter postoperatively, and they were lower in the study group than those in the control group. Compared with the control group, the study group had better nursing satisfaction at discharge. Conclusion: Application of Kegel exercise combined with psychological support after RARP can effectively promote the recovery of patients’ urinary control, enhance urination function, improve negative emotion, and raise patient satisfaction.

收稿日期：2024-03-22  录用日期：2024-04-10 

Received Date: 2024-03-22  Accepted Date: 2024-04-10 

基金项目：西安国际医学中心医院院级课题项目（2022HL09） 

Foundation Item: Xi’an International Medical Center Hospital Founding Project (2022HL09) 

通讯作者：陈小娟，Email：354441811@qq.com 

Corresponding Author: CHEN Xiaojuan, Email: 354441811@qq.com 

引用格式：孟文静，李静，陈小娟 . 凯格尔运动联合心理支持对机器人辅助根治性前列腺切除术后尿失禁的影响 [J]. 机器人外科学 杂志（中英文），2024，5（6）：1036-1041，1046. 

Citation: MENG W J, LI J, CHEN X J. Effect of Kegel exercise combined with psychological support on urinary incontinence in patients after robot-assisted radical prostatectomy[J]. Chinese Journal of Robotic Surgery, 2024, 5(6): 1036-1041，1046.

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