循证护理在剖宫产术后导尿放尿方法中的应用  

Application of evidence-based nursing on urine release for catheterization after cesarean section

作　　者：杨红梅[1] 何丽娜[1] 

机构地区：[1]江苏省常熟市第一人民医院妇产科,215500

出　　处：《护理实践与研究》2010年第21期12-13,共2页Nursing Practice and Research

摘　　要：目的:探讨循证护理在剖宫产术后导尿不同放尿方法的护理中的应用。方法:将剖宫产产妇117例随机分为对照组57例和实验组60例,对照组采用持续放尿法;实验组提出问题,并进行文献检索,对查出的相关文献进行分析、探讨,选出最佳论据,指导护理实践。结果:对照组与实验组放尿方法比较,一次排尿成功率有显著性差异(P<0.01),拔管后自行排尿时间比较,差异有高度统计学意义(P<0.01),两组均未发生子宫复旧不良和产后出血。结论:循证护理提高了护理实践的科学性,有利于护理人员主动学习和密切医护患关系,推动护理科研的开展。Objective ： To study the influence of evidence - based nursing in the nursing of the different methods of urine release for catheterization after cesarean section. Methods ： 117 postlesarean puerporas were divided patients into two groups randomly. There were 60 patients in the experimental group and 57 patients in the control group. The continuous catheterizing cares were used in the experimental group, while none of catheterizing cares were used in the control group. To analyze the collected literature and find out the argument in order to guide the nursing practice. Results：The experimental group have significandy higher indexes of success rate of one - time urination than the control group （ P 〈 0.01 ）, and the time of urinating on their own after removing the foley catheter in the experimental group was significantly shorter than the control group（ P 〈0.01 ）. No vicious incident such as poor uterine involution and postpartum hemorrhage were occured in both groups. Conclusion：The evidence -based nursing improved the scientific nature of the nursing practice, conducive to active learning and close care nursing staff relations, and then promote the development of nursing research.

关 键 词：剖宫产 持续放尿 定时放尿 自主性放尿 膀胱功能 

分 类 号：R473.71[医药卫生—护理学]