护理干预在预防宫颈癌术后尿潴留中的应用简

目的：探讨护理干预在预防宫颈癌术后尿潴留中的应用效果.方法：选择我科2010年6月至2011年6月宫颈癌行广泛子宫切除术患者96例,遵照知情同意原则采用随机数字表法分为2组,对照组48例按常规护理,观察组48例在此基础上进行护理干预,包括盆底肌肉锻练、增加腹压训练、个性化放尿结合定时开放、改进测残余尿及拔管方法.以患者术后尿潴留及尿路感染发生率、残余尿量、留置尿管时间为观察指标.结果：观察组尿潴留及尿路感染发生率分别为6.25%和2.08%,明显低于对照组发生率27.08%和16.67%,两组差异有统计学意义（P〈0.05）.观察组残余尿量为（68.13±44.56）ml,明显少于对照组（104.17±77.04）ml,两组差异有统计学意义（P〈0.05）.观察组留置尿管时间为（12.58±3.52）d,明显短于对照组（17.79±6.92）d,两组差异有统计学意义（P〈0.05）.结论：护理干预能有效促进膀胱功能的恢复,促进患者恢复自主排尿,减少尿潴留的发生,缩短术后留置尿管时间,有利于患者的康复和提高术后生活质量.

Prevenion of Postoperative Urinary Retention by Application of Nursing Intervention on Cervical Cancer Patients.

Objective： To investigate the effect of nursing intervention on the prevention of postoperative urinary retention in cervical cancer patients. Methods： We enrolled 96 cervical cancer patients who underwent radical hysterecto- my in our department from June 2010 to June 2011. They were randomly allocated to two groups by means of random num- ber table, 48 cases in each. The patients in control group received conventional care, the patients in experimental group were given nursing interventions on the basis of conventional care, including preoperative pelvic floor muscle exercises, in- creased abdominal pressure training, individualized timed release of urine combined with regularly opening, and improved methods of measuring residual urine and removal of the Foley catheter. The incidence of postoperative urinary retention, u- rinary tract infection, residual urine volume, and duration of indwelling catheter were observed. Results： In experimental group, the incidence of urinary retention and urinary tract infection were 6.25% and 2.08% respectively, significantly lower than that in control group, which were 27.08% and 16.67% respectively, and the difference was statistically signifi- cant （P 〈0.05 ）. Residual urine volume in experimental group was （68.13 _＋44.56 ）ml which was significantly less than that in control group （104.17ml _＋ 77.04ml）, and the difference was statistically significant （P 〈 0.05 ）. The duration of indwelling catheter in experimental group was （12.58 e 3.52 ）d which was significantly shorter than that in control group （ 17.79d _＋ 6.92d）, and the difference was statistically significant （ P 〈 0.05 ）. Conclusion ： Nursing intervention can ef- fectively promote the recovery of bladder function and automatic micturition, reduce the incidence of urinary retention, shorten the duration of indwelling catheter after operation, as well as facilitate the postoperative recovery and improve the postoperative quality of life of patients.