术前护理干预对术后尿管刺激征耐受的影响

Effects of preoperative nursing intervention on the tolerance of catheter related bladder discomfort in patients with neurological surgery

目的 观察术前对神经外科手术患者实施导尿护理干预,对患者麻醉苏醒期及术后尿管刺激征耐受程度的影响.方法 将95例手术前患者随机分为干预组（n=47）和对照组（n=48）.两组患者均在手术室全麻后留置尿管,干预组患者术前1 d接受护理干预,对照组接受传统的术前导尿健康教育.术后测评两组患者麻醉苏醒期、意识清醒期的尿管刺激征程度,术后患者自测尿管刺激征程度,记录患者意外拔除尿管的例数.结果 两组患者尿管刺激征得分麻醉苏醒期差异无统计学意义,意识清醒期干预组得分低于对照组;患者自测得分及意外拔除尿管例数,两组差异无统计学意义.结论 术前实施导尿护理干预有效帮助患者应对意识清醒期的尿管刺激征,增强患者的耐受能力.

Objective To investigate the effects of preoperative nursing intervention on tolerance of catheter related bladder discomfort in the patients with neurological surgery during anesthesia recovery period and postoperative period.Methods A total of 95 cases were randomized into two groups：the intervention group and the control group.The intervention group patients received nursing intervention for urethral catheterization before 1 day of operation;the control group received traditional preoperative health education of catheterization.Two groups of patients were indwelled catheter with general anesthesia before surgery.After surgery,evaluation scores of indwelling catheter irritation tolerance during anesthesia recovery period and conscious period after anesthesia,the extent of catheter irritation of patients felt and cases of patients who pulled off catheter themselves accidently were all compared.Results There was no significant difference in evaluation scores of indwelling catheter irritation tolerance during anesthesia recovery period;but during conscious period after anesthesia,the scores of the intervention group was significantly lower than that of the control group.There was also no significant difference in the extent of catheter irritation of patients feeled and cases of patients who pulled off catheter themselves accidently between the two groups.Conclusions Preoperative nursing intervention of catheterization can help patients to confront catheter related bladder discomfort and to improve tolerance during conscious period after anesthesia.