护理干预对预防和护理肛肠疾病术后尿潴留的分析

Analysis of Nursing Intervention to Prevent and Care Urinary Retention after Anorectal Disease

目的分析护理干预对预防和护理肛肠疾病术后尿潴留的临床效果。方法选取2017年2月—2019年10月该院收治的46例肛肠疾病患者,按照随机数表法,将46例患者均分为对照组和观察组,每组均为23例,对照组接受常规护理,观察组在常规护理上增加护理干预,观察两组患者的护理效果。结果观察组患者的留置尿管时间、排尿时间均明显比对照组患者更短,残余尿量比对照组患者低,排尿量比对照组患者更高,差异有统计学意义(t=8.676、6.523、15.155、48.232,P=0.000、0.000、0.000、0.000)。观察组患者的护理满意度95.65%,比对照组的78.26%明显更高,观察组患者的尿潴留发生率为21.74%,显著低于对照组的39.13%,差异有统计学意义(χ^2=4.067、4.643,P<0.05)。结论肛肠疾病术后患者加强护理干预,可促进患者排尿,患者尿潴留发生率更低,满意度更高。

Objective To analyze the clinical effect of nursing intervention on prevention and care of postoperative urinary retention.Methods 46 patients with anorectal disease admitted to the hospital from February 2017 to October 2019 were selected.According to the random number table method,46 patients were divided into a control group and an observation group.After receiving routine nursing,the observation group increased nursing intervention in routine nursing to observe the nursing effect of patients in both groups.Results The indwelling catheter time and urination time of the observation group were significantly shorter than those of the control group.The residual urine volume was lower than that of the control group(t=8.676,6.523,15.155,48.232,P=0.000,0.000,0.000,0.000).The nursing satisfaction of the observation group was 95.65%,which was significantly higher than 78.26%of the control group.The incidence of urinary retention in the observation group was 21.74%,which was significantly lower than that of the control group of 39.13%.The difference was statistically significant(χ^2=4.067,4.643,P<0.05).Conclusion Nursing intervention for patients with anorectal diseases after intensive care can promote urination,with a lower incidence of urinary retention and higher satisfaction.