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子宫脱垂手术术后患者尿潴留的原因及针对性护理分析

Causes of Urinary Retention in Patients With Uterine Prolapse After Operation and Targeted Nursing Analysis
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摘要 目的分析子宫脱垂手术术后患者尿潴留的发生原因及针对性护理的应用价值。方法选取厦门大学附属妇女儿童医院2022年1—12月收治的接受手术治疗的子宫脱垂患者200例,将其按照数字随机表法分成对照组与研究组,各100例。对照组接受常规护理干预,研究组则针对尿潴留发生的具体原因制定有针对性的护理干预对策。比较2组的护理干预效果。结果研究组的首次排尿量、首次自助排尿时间、膀胱残余尿量分别为(186.15±9.73)mL、(0.93±0.13)h、(69.42±9.66)mL,均明显优于对照组的(109.53±13.25)mL、(2.72±0.22)h、(130.54±15.09)mL,差异均有统计学意义(P<0.05)。研究组的尿潴留、二次置管发生率分别为5.0%、2.0%,均明显低于对照组的18.0%、10.0%,差异有统计学意义(P<0.05);研究组的总满意度为98.0%,明显高于对照组的83.0%,差异有统计学意义(P<0.05)。结论子宫脱垂患者在接受手术治疗时,针对术后发生尿潴留的具体原因,制定有针对性的护理干预对策,明显降低二次置管及尿潴留发生率,及早恢复患者自主排尿能,显著提高满意度。此文的研究结果为术后尿潴留防治后期标准制定提供了借鉴内容。 Objective To analyze the causes of urinary retention in patients with uterine prolapse after surgery and the value of targeted nursing.Methods A total of 200 patients with uterine prolapse who underwent surgical treatment at Women and Children's Hospital,School of Medicine,Xiamen University from January to December 2022 were selected and randomly divided into a control group and a study group,with 100 cases in each group.The control group received routine nursing intervention,while the research group formulated targeted nursing intervention strategies for the specific causes of urinary retention.The nursing intervention effects between two groups were compared.Results The first urination volume,first self urination time,and bladder residual urine volume of the study group were(186.15±9.73)mL,(0.93±0.13)h,and(69.42±9.66)mL,respectively,which were significantly better than the control group's(109.53±13.25)mL,(2.72±0.22)h,and(130.54±15.09)mL,with statistical significance(P<0.05).The incidence of urinary retention and secondary catheterization in the study group were 5.0%and 2.0%,respectively,which were significantly lower than those in the control group(18.0%and 10.0%,respectively),with a statistically significant difference(P<0.05).The overall satisfaction rate of the research group was 98.0%,significantly higher than the control group's 83.0%,with a statistically significant difference(P<0.05).Conclusion When patients with uterine prolapse receive surgical treatment,targeted nursing intervention measures should be formulated according to the specific causes of urinary retention after surgery,which can significantly reduce the incidence of secondary catheterization and urinary retention,enable patients to recover as soon as possible,and significantly improve their satisfaction.It is worth promoting.The research results of this article can provide reference for the formulation of the late standard of postoperative urinary retention prevention and treatment.
作者 沈东梅 张汉萍 SHEN Dongmei;ZHANG Hanping(Department of Gynaecology,Women and Children's Hospital,School of Medicine,Xiamen University/Xiamen Maternal and Child Health Hospital,Xiamen Fujian 361000,China)
出处 《中国卫生标准管理》 2024年第3期173-177,共5页 China Health Standard Management
基金 福建省自然科学计划项目(2022J011379)。
关键词 子宫脱垂 手术 尿潴留 排尿 原因 针对性护理 uterine prolapse surgery urinary retention urination reason targeted care
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