护理干预对产妇产后尿潴留的预防效果观察

Observation of preventive effect of nursing intervention on postpartum urinary retention

目的调查研究护理干预措施对产妇产后，预防尿潴留的临床应用效果。方法抽取在医院内妇产科通过阴道生产的产妇400例，根据其护理干预的方法不同将其分为两组，对照组200例，采取正常分娩时的护理措施；干预组200例，采取产后尿潴留预防措施。结果干预组中产妇的首次排尿时间0—4h的例数明显高于对照组，在4—6h这一时间段和6～12h这一区间内对照组首次排尿时间例数明显高于干预组。干预组中未发生尿潴留现象几率为（51％）明显高于对照组（23％）。两组之间差异明显，具有统计学有意义（P〈0．05）。结论为避免分娩产妇发生尿潴留现象，临床上应用相应的护理干预措施，能够有效的降低尿潴留现象的发生率，具有非常重要的临床应用价值。

Objective To investigate and study the clinical application effect of nursing intervention on the prevention of postpartum urinary retention. Methods 400 puerperal women with vaginal delivery in gynecology and obstetrics department of our hospital were selected and divided into the two groups according to the different nursing intervention methods.200 cases in the control group were taken the normal childbirth care measures,while 200 cases in the intervention group were taken postpartum urinary retention preventive measures. Results The number of puerperal women with first voiding time during the period of 0 to 4 hours in the intervention group was significantly higher than that in the control group,while the number of puerperal women with first voiding time during the period of 4 to 6 hours and 6 to 12 hours in the control group were significantly higher than those in the intervention group.The incidence of urinary retention without the phenomenon in the intervention group（51.00%） was significantly higher than that in the control group（23.00%）,and the difference was statistically significant（P 〈 0.05）. Conclusion In order to avoid the urinary retention phenomenon in lying-in women,the clinical application of appropriate nursing intervention can effectively reduce the incidence of urinary retention,and it has a very important clinical application value.