对40例产后尿失禁产妇进行循证护理的效果探讨

To explore the effect of evidence-based nursing in 40 puerpera with postpartum urinary incontinence

目的:探究对40例产后尿失禁产妇进行循证护理的效果.方法:选择2016年1月至2017年12月在临沂市妇女儿童医院进行自然分娩后发生产后尿失禁的80例产妇作为研究对象.将这些产妇随机分为对照组(n=40)与观察组(n=40).对对照组产妇与观察组产妇分别进行常规护理与循证护理,然后比较两组产妇产后24 h内的漏尿量、产后24 h内最大应力时的漏尿量及产后24 h内最低漏尿点的腹压.结果:接受护理后,观察组产妇产后24 h内的漏尿量与产后24 h内最大应力时的漏尿量均少于对照组产妇,其产后24 h内最低漏尿点的腹压高于对照组产妇,P<0.05.结论:对产后尿失禁产妇进行循证护理可有效地改善其尿失禁的相关症状.

objective: to explore the effect of evidence-based nursing on 40 puerpera with postpartum urinary incontinence. Methods: 80 cases of postpartum urinary incontinence after natural childbirth in linyi women and children’s hospital from January 2016 to December 2017 were selected as research objects. These women were randomly divided into control group(n=40) and observation group(n=40). The control group and observation group were given routine nursing care and evidence-based nursing care respectively, and then compared the amount of urine leakage in the two groups within 24 h postpartum, the amount of urine leakage at the maximum stress within 24 h postpartum, and the abdominal pressure at the lowest point of urine leakage within 24 h postpartum. Results: after receiving nursing care, the urine leakage in the observation group and the maximum stress in the 24 h postpartum were both less than that in the control group, and the abdominal pressure of the lowest urine leakage point in the 24 h postpartum was higher than that in the control group, P < 0.05. Conclusion: evidence-based nursing can effectively improve the symptoms of postpartum incontinence.