循证护理对腹腔镜子宫切除术患者术后尿潴留的预防效果

Effect of evidence-based nursing on postoperative urinary retention in patients undergoing laparoscopic hysterectomy

目的探讨循证护理对腹腔镜子宫切除术患者术后尿潴留的预防效果。方法选取45例腹腔镜子宫切除术治疗患者设为观察组,给予循证护理预防尿潴留,另选取同期收治的40例采用常规护理的腹腔镜子宫切除术患者设为对照组,比较2组术后排尿、尿潴留及拔除尿管情况。结果观察组自主排尿的恢复时间短于对照组,首次排尿量多于对照组,残余尿量少于对照组,尿路感染、尿潴留的发生率低于对照组,差异有统计学意义(P<0.05);观察组拔除时的疼痛程度轻于对照组(P<0.05)。结论循证护理能够促进腹腔镜子宫切除术后患者排尿,减少尿潴留发生,减轻患者痛苦。

Objective To investigate the effect of evidence-based nursing on postoperativeurinary retention in patients undergoing laparoscopic hysterectomy. Methods A total of 45 patients with laparoscopic hysterectomy in our department were as the observation group, given evidence-based nursing to prevent urinary retention. A total of 40 patients with laparoscopic hysterectoroutine nursing as the control group. The postoperative urination, urinary retention and urinary cathe-ter removal were compared. Results Autonomous urination recovery time in the observation groupwas shorter, the first micturition volume was more, the residual urine volume was less,urinary tractinfection and urinary retention rate were lower than that in the control group, the differences were sta-tistically significant （P 〈 0. 05 ）. The pain in the observation group was slightly lighter than that in the control group, and the difference was statistically significant （ P 〈0. 05）. Conclusion Evi-dence-based nursing can improve the urination, reduce the incidence of urinary retention and reducethe pain of patients after laparoscopic hysterectomy.