个性化护理干预降低宫颈癌术后尿潴留的效果

Individualized nursing intervention reduces urinary retention after cervical cancer surgery

目的探讨个性化护理干预对降低宫颈癌(CC)根治术后尿潴留发生率的影响。方法选择2015年3月~2016年7月在我院妇科住院资料完整行CC根治术的92例患者,随机平均分为观察组和对照组,每组各46例。对照组进行常规按广泛性全子宫切除术+盆腔淋巴结清扫术的护理,观察组在常规护理的基础上,进行个性化护理干预,对比两组的术后尿潴留发生率、再次置管率、平均住院天数、护理总满意度。结果观察组的拔管后尿潴留发生率、再次置管率均明显低于对照组;观察组的留置尿管时间短于对照组;差异均有统计学意义(P<0.05)。观察组的平均住院天数短于对照组,差异有统计学意义(P<0.05),观察组的护理工作的总满意度明显高于对照组,差异有统计学意义(P<0.05)。结论对CC根治术患者进行个性化护理干预,可有效降低尿潴留的发生率,加快恢复膀胱功能,能缩短患者平均住院天数,有效降低医疗费用,提高患者对护理工作的满意度。

Objective To explore the influence and practice of individualized nursing intervention on the incidence of urinary retention after radical treatment of cervical cancer（CC）. Methods A total of 92 patients with CC radical surgery were selected from march 2015 to July 2016 in the department of gynecology of our hospital, they were randomly divided into observation group and control group, 46 cases in each group. Patients in the control group were routinely treated with extensive total hysterectomy and pelvic lymph node dissection. On the basis of routine care of the observation group was given personalized nursing intervention. The incidence of postoperative urinary retention, recatheter rate, average length of stay and nursing satisfaction were compared between the two groups. Results In the observation group,the incidence of urinary retention and the resetting rate were significantly lower than that in the control group（P〈0.05）.The time of indwelling catheter in the observation group was shorter than that in the control group, the difference was statistically significant（P〈0.05）. The average length of hospital stay in the observation group was shorter than that in the control group, the difference was significant（P〈0.05）. The satisfaction of the patients in the observation group was significantly higher than in the contol group, the difference was significant（P〈0.05）. Conclusion Personalized nursing intervention in patients with CC radical prostatectomy, which can effectively reduce the incidence of urinary retention,to speed up the restore bladder function, can shortenthe patient′ s average hospitalization days, effectively reduce the medical expenses, and iprove patients satisfaction of nursing work.