腰椎间盘突出症手术患者排尿的护理干预

Nursing Intervention on Urination for Patients with Lumbar Disc Herniation

目的:通过对腰椎间盘突出症手术患者术前排尿训练和术后排尿的护理干预措施,减少了患者手术后尿潴留的发生,提高了病人的生活质量。方法:将200例行腰椎间盘手术患者,随机分为试验组和对照组,试验组在术前3天练习床上卧位排尿训练,术后根据患者的个性进行良好的心理和护理干预,对照组予常规护理。结果:试验组术前训练首次与末次排尿时间比较差异具有显著性,试验组与对照组术后第一次排尿时间比较差异具有显著性。术后患者自身感受情况比较,排尿困难和尿潴留发生例数比较差异均有显著性。结论:表明护理干预可明显减少腰椎间盘突出症患者术后排尿困难和尿潴留的发生率。

Objective： To reduce the occurence of retention of urine in patients with lumbar disc hernia- tion by urination training before and after operation then improve the comfort for them. Method： 200 cases with lumbar disc herniation were divided into experiment and control group. The patients in experiment group were trained for urination in laying opsition 3 days before operation and the pshchological nursing and other nursing intervention were adopted after operation. While, the patients in control group were given the normal nursing. Result- There＇s significant difference between the time of first and last urination in experinent group, the time of first urination between two groups, and there′s also difference in the cases of dysuria and ruinary retention. Conclusion： Nursing intervention can reduce obviously the dysuria and ruinary retention in the surgery patients with lumbar disc herniation.