护理干预对全身麻醉后患者留置尿管耐受的影响  

Effects of Nursing Intervention on Indwelling Catheter Tolerance in Patients with General Anesthesia

作　　者：曹颖俐[1] 曹敏[2] 韩旭[3] 杨晓红[3] 李昂[3] 

机构地区：[1]解放军总医院第二附属医院整形美容中心,北京100091 [2]解放军总医院第二附属医院护理部 [3]解放军总医院第二附属医院麻醉科

出　　处：《解放军护理杂志》2009年第9期8-10,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨实施护理干预对全身麻醉后导尿患者留置尿管耐受情况的影响。方法将180例全身麻醉后导尿的男性患者随机分为常规组和干预组,每组90例。常规组在麻醉诱导后按常规消毒,铺洞巾,再次消毒尿道口,检查气囊,润滑导尿管进行导尿操作。干预组操作时在术前访视的基础上,麻醉诱导前再次强化心理干预,麻醉后注意操作细节等护理内容。比较两组患者留置尿管耐受情况。结果干预组患者0级和1级的例数明显多于常规组,2级和3级的例数明显少于常规组,差异均有统计学意义(P<0.01)。干预组有6例患者发生尿道出血,发生率为6.7%;常规组有23例患者发生尿道出血,发生率为25.6%,差异有统计学意义(χ2=11.1,P<0.01)。结论在对全身麻醉后导尿患者麻醉诱导前强化护理干预,可提高患者对留置尿管的耐受性。Objective To investigate the effects of nursing intervention on indwelling catheter tolerance in the patients with general anesthesia. Methods One hundred and eighty male patients with urinary catheterization during general anesthesia were randomized into two groups： the routine group and intervention group. After standard intravenous anesthesia induction, the routine group were given the normal sterilization, hole-towel, resterilization on meatus urinarius, check of air sac and urethral catheterization after lubrication. The nursing methods of intervention group were preoperative visiting of the patients, intensive psychology intervention before the anesthesia induction and concerns on the operating details. The indwelling catheter tolerances in the two groups were compared. Results The case number of grade of bladder stimulation（0-1）and grade of bladder stimulation （2-3） in the intervention group were significantly higher and less than those in the routine group respectively（P〈0.01）. The occurrence of urethrorrhagia in the intervention group and routine group were 6.7%（n=6） and 25.60% （n：23） ,respectively. The differences in the two groups were significant （ χ^2 = 11. 1, P 〈 0.01 ）. Conclusion Intensive nursing intervention before the anesthesia induction can improve the indwelling catheter tolerance in the patients with general anesthesia.

关 键 词：全身麻醉 导尿术 耐受性 护理干预 

分 类 号：R197.323[医药卫生—卫生事业管理]