预防性护理对宫颈癌术后尿潴留影响的临床分析

目的分析预防性护理对宫颈癌患者术后尿潴留的临床影响，探讨减少宫颈癌患者术后尿潴留的护理措施。方法选择宫颈癌手术患者96例，随机均分为对照组（n=48）和观察组（n=48），对照组给予常规专科护理，观察组在对照组的基础上实施预防性护理，比较两组患者术后1周膀胱功能恢复情况及术后2周残余尿量、尿潴留例数、HAMD评分和HAMA评分，并比较两组患者发生尿路感染例数与平均住院时间。结果术后1周观察组膀胱功能恢复优于对照组（x^2=4．019，P〈0．05）；术后2周观察组平均残余尿量、发生尿潴留例数、HAMD评分和HAMA评分均优于对照组（t=3．115，x^2=4．360，t=2．804，t=2．731，P〈0．05）；观察组发生尿路感染例数和平均住院时间均优于对照组（x^2=4．703，t=2．913，P〈0．05）。结论预防性护理措施可促进患者术后膀胱功能恢复，降低尿潴留的发生率，应广泛推广施行。

Effect of preventive nursing on urinary retention after cervical cancer surgery

Objective To analyze the clinical effect of preventive nursing on urinary retention after cervical cancer surgery, to study nursing measures on reducing urinary retention after cervical cancer operation. Methods 96 patients with cervical cancer were randomly divided into control group and observation group, 48 cases in each group. Control group received routine specialist nursing, observation group received preventive nursing on the basis of control group. Compared the recovery of bladder function 1 week after operation of two groups, residual urine volume, urinary retention, HAMD score and HAMA score 2 weeks after operation, urinary tract infection and the average hospital stay time. Results The recovery of bladder function in observation group was better than that in control group （x^2 = 4.019, P 〈 0.05）. Residual urine volume, urinary retention, HAMD score and HAMA score 2 weeks after operation in observation group were better than those in control group （t = 3.115,x^2 = 4.360, t = 2.804, t = 2.731, P 〈 0.05）. Urinary tract infection and the average hospital stay time in observation group were better than those in control group （x^2= 4.703, t = 2.913, P 〈 0.05）. Conclusion Preventive nursing can accelerate the recovery of bladder function after operation and reduce the rate of urinary retention, which should be widely promoted.