广泛性子宫切除术后患者尿潴留的综合护理效果研究

Integrated Nursing of Urinary Retention in the Patients after Radical Hysterectomy

目的探讨护理干预对预防广泛性全子宫切除术后尿潴留的效果。方法将74例广泛性全子宫切除术后患者随机分为实验组38例和对照组36例,实验组行尽早合理膀胱锻炼、心理干预、选择适当的拔管时机、正确指导排尿方法等综合护理干预措施,对照组常规置尿管定时开放。观察两组患者术后自主排尿恢复情况。结果术后第10d拔除尿管,排尿困难者实验组4例,对照组12例;实验组尿潴留者3例,对照组11例,几乎全部由导尿解除;实验组残余尿量(105±62)ml,对照组(181±98)ml;两组比较有显著差异(P<0.05)。结论加强广泛性子宫切除术患者手术前后的综合护理措施,能有效预防术后排尿困难和尿潴留的发生。

Objective To study the effect of nursing intervention on the prevention of urinary retention after radical hysterectomy. Methods 74 cases of cervical cancer patients were randomly divided into experiment group of 38 cases and control group of 36 cases,the experiment group underwent early stage individual voiding training,mental intervention,appropriate juncture of removing catheter and direction voiding process;the control group was indwelling catheter which was regularly open. The recovery of urination after operation in the two groups was observed. Results After removing catheter,there were 4 cases of the dysuria patients in experiment group and 12 cases in control group;there were 3 cases of the urinary retention patients in experiment group and 11 cases in control group,the residual urine volume in experiment group was（105 ± 62） ml,while in control group was（181 ± 98） ml,there was significantly difference between the two groups（P 0.05） . Conclusion Strengthening the integrated nursing for cervical cancer patients before and after operation can effectively prevent dysuria and urinary retention.