Research of cluster intervention strategy on postoperative bleeding of elderly patients undergoing transurethral resection of the prostate and its prevention on bladder spasm

Objective To investigate the preventive effect of cluster intervention strategy on postoperative bleeding of elderly patients undergoing transurethral resection of the prostate (TURP) and its prevention on bladder spasm. Methods A total of 86 elderly patients with BPH undergoing TURP in our hospital from January, 2015 to June, 2016 were selected and randomly divided into control group and intervention group, with 43 cases in each group. The control group received routine TURP perioperative nursing, and intervention group received cluster intervention strategy. The urodynamic indicators of two groups were monitored, the life quality and prostate symptom of two groups were assessed, postoperative bleeding, bladder spasm, and clinical effect of two groups were accounted. The data was analyzed to assessed the effect of cluster intervention strategy on postoperative bleeding of elderly patients undergoing TURP and its prevention on bladder spasm. Results After nursing, the Qmax levels of two groups were significantly increased (P<0.05), the RU, IPSS scores of two groups were significantly reduced (all P<0.05); the Qmax level of intervention group was significantly higher than that of control group (P<0.05), and RU,IPSS scores of intervention group was significantly lower than that of control group (all P<0.05). After nursing, physical function, psychological function and social function scores of intervention group were significantly higher than those of control group (all P<0.05). After nursing, hemorrhage and bladder spasm of intervention group were significantly better than those of control group (all P<0.05). The total clinical efficiency of intervention group was significantly better than that of control group (P<0.05). Conclusion The cluster intervention strategy could effectively improve the clinical effect of elderly patients undergoing TURP, improve postoperative urination disorders, and reduce postoperative bleeding, bladder spasm and other complications, thereby improving the life quality, and worthy of promotion.