宫颈癌根治术后发生尿潴留的原因及护理对策

Causes and nursing strategies of urinary retention after radical resection of cervical cancer

目的总结宫颈癌根治术后发生尿潴留的原因,以此为基础提出相应的护理对策,为术后临床患者干预方向提出指导。方法将2014年7月~2017年6月间于本院接受宫颈癌根治术患者60例为研究对象,经数字表随机法分为两组,即对照组30例行常规护理,分析组30例在对照组基础上加入针对性护理,总结两组患者干预后成功排尿时间、住院时间、并发症发生率等差异。结果 (1)分析组干预后成功排尿时间、住院时间均明显短于对照组,差异具有统计学意义(P<0.05);(2)从两组术后并发症可见,分析组发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论宫颈癌根治术后,由于多因素引起尿潴留的发生,由此展开的针对性护理干预有助于促进患者早期成功排尿,减少住院时间,并可降低并发症的发生,安全性更高,具有临床推广应用价值。

Objective To summarize the causes of urinary retention after radical resection of cervical cancer,and to put forward the corresponding nursing countermeasures on this basis,and to provide guidance for the intervention direction of postoperative clinical patients.Methods From July 2014 to June 2017,60 patients undergoing radical cervical cancer operation in our hospital were randomly divided into two groups:the control group(30 cases)received routine nursing,and the control group(30 cases)were randomly divided into two groups.30 cases in the analysis group were treated with targeted nursing on the basis of the control group.The difference of successful urination time,hospitalization time and complication rate between the two groups was summarized.Results①The successful urination time and hospitalization time were significant in the analysis group.Compared with the control group,the difference was statistically significant(P<0.05).②The incidence of postoperative complications in the analysis group was significantly lower than that in the control group(P<0.05).Conclusion After radical resection of cervical cancer,urinary retention is caused by many factors.The targeted nursing intervention can promote the early successful urination,reduce the length of hospitalization,reduce the incidence of complications,and improve the safety.It has the value of clinical popularization and application.