早期系统护理干预对宫颈癌术后留置尿管时间的研究

目的 通过对宫颈癌患者进行早期系统护理干预,促进膀胱功能的恢复,从而提前拔除留置的尿管,减少膀胱功能障碍的发生.方法 将80例宫颈癌行子宫广泛切除术患者随机分成治疗组和对照组各40例,治疗组采用系统护理干预(心理护理、盆底肌肉训练、排尿中断训练、腹肌训练、Valsalva屏气法及Crede手压法、定时开放结合个体化放尿、热滚动按摩疗法),对照组采用常规护理加上一些简单的膀胱功能训练.比较2组术后留置尿管的时间.结果 治疗组留置尿管的时间为(9.65±1.49)d.对照组的时间为(15.88±4.03)d,有显著差异,术后残余尿、尿潴留及泌尿系统感染发生均低于对照组.结论 早期系统的护理干预能有效缩短宫颈癌术后留置尿管的时间,减少膀胱功能障碍的发生,提高宫颈癌患者的手术效果及生活质量.

The research in the effect of early systemic nursing intervention on the lime of indwelling urethral catheter after surgery of uterine cervix cancer

Objective Through early systemic nursing intervention of cervical cancer patients for promotion of the recovery of urinary bladder function, to remove the urethral catheter in advance,and reduce the occurrence of urinary bladder dysfunction. Methods 80 cervical cancer patients after total hysterectomy were divided into the treatment group and the control group with 40 cases in each group stochastically. The treatment group was given systemic nursing( psychological nursing,pelvis bottom muscles exercising,urination discontinuance exercising,abdominal muscle exercising,Valsalva maneuver exercising, Crede press exercising,open the urethral catheter timely and individually,cheiropractic with hot roller), the control group received conventional nursing and some simple training of urinary bladder function. The time of indwelling urethral catheter after the hysterectomy was compared. Results The time of indwelling urethral catheter in the treatment group and in the control group were (9.65±49)days and (15.88±03)days respectively. The incidence rate of residual urine,urine retention and infection of urinary system after surgery in the treatment group was lower than that of the control group. Conclusions Early systemic nursing intervention can shorten the time of indwelling urethral catheter after hysterectomy, reduce the occurrence of urinary bladder dysfunction .improve the surgery effect for the cervical cancer patients and ameliorate their quality of life.