预防剖宫产术后尿潴留的健康教育方法研究  

Method of Health Education for Preventing Urinary Retention after Caesarean Procedure

作　　者：樊平[1] 董盛霞[1] 李琳丽[1] 李江华[1] 姜莉[1] 鲍丽辉[1] 

机构地区：[1]解放军总医院妇产科,北京100853

出　　处：《解放军护理杂志》2005年第7期6-7,16,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的比较两种健康教育方法,观察剖宫产术后拔除尿管的首次排尿时间,以预防术后尿潴留的发生,减少护士工作中的盲目性.方法将127例剖宫产术后产妇随机分成对照组58例,实验组69例.对照组采取传统的健康教育方法,实验组采取改良的健康教育方法.结果首次排尿前单位时间入量、健康教育方法、首次排尿量等因素与首次排尿时间密切相关(P＜0.01).实验组首次排尿时间在2～3 h的人数高于对照组12.87%.结论首次排尿前单位时间入量与进行的健康教育方法可以缩短首次排尿时间,避免尿潴留的发生.督促产妇排尿的最佳时间应在拔除尿管后2～3 h.Objective To compare two different methods of health education for preventing urinary retention after caesarean procedure and observe the time of first urination from removing Foley catheter in order to decrease blindness of nursing work.Methods 127 women who had undergone caesarean section were randomized into the study group(n=69) and the control group(n=58).Patients in the control group were managed with the traditional method of health education,and those in the study group were offered a modified method of health education.Results The amounts of drinking water in given time before first water passing,health education method and the amount of first water passing were closely related with the time of first water passing(P<0.01).The number of persons who first passed water in 2~3 hours after removing catheter in study group and control grtup was 41(59.42%,41/69) and 27(46.55%,27/58),respectively.Conclusion Decreasing the amount of drinking water in given time before first water passing and offering a modified method of health education can shorten the time of first water passing and prevent urinary retention.The best time for supervising patients with caesarean procedure is 2-3 hours after removing catheter.

关 键 词：剖宫产术后 尿潴留 健康教育 

分 类 号：R473.71[医药卫生—护理学] R494[医药卫生—临床医学]