Clinical Research On The Effect Of Different TCM Nursing Operation In The Treatment Of Urinary Incontinence After The Prostatect Omy For Benign Prostatic Hyperplasia

Purpose: By implementing different technologies of Chinese medicine treatments forpatients with urinary incontinence after prostatectomy, including moxibustion and auricularacupressure, observe the patients’recovery of the condition and quality of life improvement, toprovide the basis for the future overall care of patients with urinary incontinence afterprostatectomy.Method: Divide the60patients with urinary incontinence after prostatectomyhospitalized in urinary surgery of a certain national hospital in Changchun during April2013to December2013into three groups, which are the moxibustion group, the auricularacupressure group, and moxibustion combined auricular acupressure group. ImplementChinese medicine care technology of moxibustion Shenque to patients in the first group afterdiagnosed with urinary incontinence for2days,10to15minutes a day, with a course oftreatment of7days. Implement Chinese medicine care technology of auricular acupressure topatients in the second group after diagnosed with urinary incontinence for2days,20minutes aday, with a course of treatment of7days. Implement Chinese medicine care technology bycombining moxibustion and auricular acupressure to patients in the third group after diagnosedwith urinary incontinence for2days, once a day, with a course of treatment of7days. Contrastand analyze the recovery of symptoms and I-QOL scores of the three groups.Result:1Efficacy EvaluationAfter the implementation of the different interventions, via statistical analysis, theefficacy of the three groups is significantly different (F=9.835, P=0.07). By multiplecomparison, the efficacy of moxibustion combined auricular acupressure is the best, with theeffective rate of85%.After intervention, by Ridit analysis, the degree of improvement in urinary incontinenceamong the three groups has statistically significant difference (p=0.010<0.05). Via multiplecomparison analysis, the moxibustion group and the auricular acupressure group have nosignificant difference in the degree of improvement in urinary incontinence (p=0.122>0.05),the moxibustion group and the moxibustion combined auricular acupressure group have a significant difference (p=0.007<0.05), and the auricular acupressure group and themoxibustion combined auricular acupressure group have a significant difference(p=0.008<0.05).2Urinary Incontinence Symptom Scores (1C1-Q-SF)Comparison within the group: By ANCOVA test analysis after intervention, the urinaryincontinence symptom scores of the moxibustion group, the auricular acupressure group andthe moxibustion combined auricular acupressure group all have statistically significantdifference compared with the previous state (F=3.351, P=0.042<0.05).Comparison between the groups: By multiple comparison analysis, there is nostatistically significant difference between the moxibustion group and the auricularacupressure group.Compared with either the moxibustion group or the auricular acupressuregroup,the ICI-Q-SF score of the moxibustion combined auricular acupressure group issignificantly lower.3The Number of Urinary Leakage IntegrationAfter the intervention,the scores of the urinary incontinence of the three groupsdecrease(p<0.05).Multiple comparison analysis concludes that the moxibustion group and theauricular acupressure group have no statistically significant difference(p<0.05). The scores ofthe moxibustion combined auricular acupressure group is significantly reduced.4Incontinence Quality of Life（I-QOL）ScoresAfter the intervention,the I-QOL scores of the three groups has no statistically significantdifference. But comparing with before, the I-QOL scores of all the three groups increase, andhas statistically significant difference.Conclusion:1The efficacy of the moxibustion combined auricular acupressure group for urinaryincontinence after prostatectomy is85%, which is higher than that of ether of the the puremoxibustion group and the pure auricular acupressure group.2By analyzing the degree of urinary incontinence after prostatectomy with intervention,the treatment to the moxibustion combined auricular acupressure group is obviously effective.3By comparing the I-QOL scores of the three groups before and after intervention, theI-QOL scores among the three groups all increases after intervention, but there is no stastically significant difference among them.4By comparing the three groups of patients with the points of leakage of urineincontinence before and after intervention, the moxibustion combined auricular acupressuremethod can significantly reduce the number of urine leakage urinary incontinence.