股动脉穿刺置管术后卧床时间的研究  

Study on the time of stay in bed for patients after femoral artery puncture and set up canulation nursing intervention

作　　者：先升萍[1] 贺葵[2] 

机构地区：[1]泸州医学院附属医院介入病房,四川泸州646000 [2]泸州医学院附属医院泌尿外科,四川泸州646000

出　　处：《护士进修杂志》2006年第2期113-114,共2页Journal of Nurses Training

摘　　要：目的探讨股动脉穿刺置管术后3 h以内,改变体位以改善术后排尿困难,对穿刺部位出血有无影响。方法采用改变患者卧位的方法,在护士的指导、协助下,用座位或站立位的方法,对术后任何时间,在床上排尿困难的患者实施护理干预,观察两组病人排尿困难的改善情况以及护理干预是否对出血和压迫带移位有影响。结果护理干预使术后尿潴留由对照组的31．67％下降到4．17％、导尿由8．33％下降到1．67％,术后3 h以内体位的改变、压迫带移位与出血没有关系(P>0．05)。结论术后3h以内改变患者的卧位以解除其排尿困难,不会因此而导致出血的发生。Objective To study the effectiveness of improving urination and bleeding in puncture point three hours after femoral puncture and set up canulation. Method some intervention methods, such as change in body position, taking seating position or stand position based on the instruction and help of nurse, were taken for patients with urination difficulty. The improving of urination difficulty, effect of bleeding and pressure band shift by nursing intervention were observed and compared. Result The post-operation urine retention was reduced from 31.67% to 4.17% by nursing intervention, urethral catheterization were reduced from 8.33% to 1.67%. There is no relationship among body position change and band pressure （P〉0.05）. Conclusion Change the patients＂ body position will reduce the urination difficulty and will not cause bleeding three hours after operation.

关 键 词：护理干预 股动脉穿刺术后 排尿困难 

分 类 号：R472.9[医药卫生—护理学]