护理干预对拔除尿管后排尿效果的观察  

Nursing intervention for relieving difficult urination after removal of the catheter

作　　者：孙雪婷[1] 孙超[1] 

机构地区：[1]安徽省蚌埠市第三人民医院骨科,233000

出　　处：《蚌埠医学院学报》2010年第5期522-523,共2页Journal of Bengbu Medical College

摘　　要：目的:探讨护理干预对预防骨科病人术后留置尿管拔管后排尿困难和尿潴留、减少拔管后再次导尿的效果。方法:随机选择骨科手术后留置尿管患者60例,分观察组30例,拔除尿管后热敷尿道外口;对照组30例,拔除尿管后热敷下腹部。两组术后均定时开放尿管,且均在膀胱充盈有尿意时拔管。观察拔管后自行排尿情况。结果:观察组拔管后第1次排尿时间为(28.6±4.4)min,第1次排尿成功率为93.3%;对照组拔管后第1次排尿时间为(68.3±4.6)min,第1次排尿成功率为63.3%,差异均有统计学意义(P<0.01)。结论:术后早期尿管定时开放+拔除尿管后热敷尿道外口的护理干预能明显改善拔管后排尿效果,降低再次导尿率。Objective：To observe the role of nursing intervention in preventing difficult urination or acute urinary retention after the urinary catheter was removed.Methods：Sixty patients detaining an indwelling urinary catheter after the orthopedic operation were randomly divided into test group（30 cases）and control group（30 cases）.The test group were applied urethral external aperture fomentation after the urinary catheter was removed,while the control group adopted lower abdominal fomentation.The two groups were released of the urinary catheter one day after the operation and removed of the catheters when the patients had a filled bladder and micturition desire.Results：The first uresis time of the test group was（28.6±4.4）minutes after the urinary catheters were removed,and the successful rate of urination was 93.3%;While it was（68.3±4.6）minutes in the control group,and the successful rate of urination was 63.3%.The difference was significant（P〈0.01）.Conclusions：Timing opening of the urinary catheter and urethral external aperture fomentation after the urinary catheter is removed may effectively relieve the difficulty of the patients in urination and avoid reinsertion of the urethral catheterization.

关 键 词：尿管插入术 尿潴留 护理干预 骨科手术 

分 类 号：R694.55[医药卫生—泌尿科学]