缺血性脑卒中患者介入治疗围术期排尿护理流程的构建与应用

Construction of a perioperative voiding nursing workflow and its application to patients with ischemic stroke treated by interventional therapy

目的探讨缺血性脑卒中患者介入治疗围术期排尿护理流程的应用效果。方法将394例患者按住院时间分为对照组206例,观察组188例。对照组采用常规介入治疗围术期排尿护理,观察组应用经专家咨询建立的围术期排尿护理流程进行干预。比较两组围术期排尿情况、术后首次排(导)尿前后的血压变化。结果观察组术前及术后尿潴留发生率显著低于对照组(均P<0.01);观察组术后首次排(导)尿前收缩压及舒张压升高幅度显著低于对照组(P<0.05,P<0.01)。结论围术期排尿护理流程可改善患者围术期床上排尿困难,有效预防尿潴留,有助于维持患者术后血压稳定。

Objective To investigate the effect of a perioperative voiding nursing workflow in patients with ischemic stroke.Methods A total of 394 patients were divided into a control group(n=206)and an intervention group(n=188)according to the admission dates.The control group received routine interventional-therapy based voiding nursing care,while the intervention group was subjected to a perioperative voiding nursing workflow which was built based on expert consultation.Perioperative voiding,and blood pressure changes before and after first postoperative voluntary voiding(or voiding through a urinary catheter)were compared between the 2 groups.Results The incidence rates of urinary retention in the intervention group before and after surgery were significantly lower than those in the control group(P<0.01 for all).The increase of systolic and diastolic blood pressure in the intervention group was significantly smaller than that in the control group(P<0.05,P<0.01).Conclusion Perioperative voiding nursing workflow can alleviate perioperative in-bed voiding difficulty of patients,effectively prevent urinary retention,and help to maintain the stability of postoperative blood pressure.