护理干预措施对脑梗死后尿潴留恢复的疗效观察

Effect of nursing intervention on the recovery of urinary retention after cerebral infarction

目的研究对脑梗死患者实施护理干预措施对其尿潴留恢复的影响。方法将我院于2014年8月至2015年8月收治的64例脑梗死患者按照入院先后顺序划分为A组与B组,每组患者32例。A组患者接受脑梗死疾病后常规院内护理流程,B组实施综合护理,重点针对尿潴留情况干预。观察两组患者的排尿情况及临床护理服务评分。结果 A组患者的排尿量低于B组,残余尿量少与B组,留置导尿管时间长于B组(P<0.05);B组患者对康复指导、集体训练、导尿管护理、心理护理评分均高于A组(P<0.05)。结论对于临床收治的脑梗死出现尿潴留患者,做好后期康复指导及并发症干预措施,十分必要,患者干预后排尿情况较好且对于临床服务质量评价较高。

Objective To study the effect of nursing intervention on the recovery of urinary retention after cerebral infarction. Methods From August 2014 to August 2015, 64 patients with cerebral infarction admitted in our hospital were divided into group A and group B according to the admission order, with 32 cases in each group. The group A received cerebral infarction routine care process, while the group B implement comprehensive care and focusing on urinary retention intervention. The urination and clinical nursing service scores were observed in the two groups. Results The urine volume of the group A was lower than that of the group B, the residual urine volume of the group A was less than that of group B, and the indwelling catheter time of the group A was longer than that of the group B （P〈0.05）; the scores of rehabilitation, group training, catheter care and psychological nursing of the group B were higher than those of the group A （P〈0.05）. Conclusion For the clinical treatment of urinary retention after cerebral infarction, good post-rehabilitation guidance and complications of intervention is necessary, which has better urination after operation and higher scores of clinical quality of service.