产妇发生尿潴留的原因及护理干预

The causes and nursing intervention of maternal urinary retention

目的：观察产妇发生尿潴留的原因及护理干预措施。方法将具有尿潴留倾向的158例产妇随机分为两组,其中79例为对照组采用常规护理,79例为观察组在对照组护理的基础上采用综合护理干预。结果观察组经过护理干预后产后1∽3、3∽6 h排尿例数显著高于对照组（P〈0.05）；观察组的尿潴留发生率为1.27%,显著低于对照组的25.32%（P〈0.05）,发生尿潴留的主要因素有潜伏期延长、精神因素、胎膜早破、头位异常或头盆不称及宫缩不协调。结论加强产妇的健康教育、心理护理及产前、产时的护理干预,可有效降低尿潴留的发生率。

Objective To observe the causes and nursing intervention of maternal urinary retention. Methods 158 cases with urinary retention tendency of maternal were randomly divided into two groups,79 cases in control group were given conventional care,79 cases in observation group were given comprehensive nursing intervention on the basis of the con-trol group. Results The urine samples in observation group after nursing intervention after 1 to 3 h,3 to 6 h were sig-nificantly higher than those of control group （P〈0.05）,the incidence of urinary rete in observation group was 1.27%,sig-nificantly less than 25.32% of the control group （P〈0.05）,the main factors of urinary retention incubation period was extended,mental factor,premature rupture of membranes and abnormal head or not said appetizer and contractions. Conclusion Strengthen the health education,psychological care and maternal antenatal and intrapartum care interven-tion,which can effectively reduce the incidence of urinary retention.