直肠癌根治术后恢复膀胱功能的护理干预  

Nursing Intervention on Recovery of Independent Urinary Function in Patients Undergoing Radical Resection of Rectal Carcinoma

作　　者：赵峰[1] 崔苗[1] 彭正燕[1] 郭燕[1] 顾侠[1] 

机构地区：[1]安徽蚌埠医学院第一附属医院肿瘤外一科,233004

出　　处：《中华全科医学》2011年第12期1979-1979,1990,共2页Chinese Journal of General Practice

摘　　要：目的探讨护理干预对直肠癌根治术患者自主排尿功能恢复的影响,减少不当的护理方法给患者带来的不适和尿路感染。方法将100例接受直肠癌根治术患者随机分为观察组和对照组,每组各50例,对照组采用常规护理方法,观察组进行手术前后的膀胱功能锻炼指导,观察患者术后尿管拔除后自然排尿情况、辅助排尿情况、尿潴留及残余尿量情况。结果观察组能自行排尿者48例,重置尿管2例,残余尿量≥100 ml的患者8例;对照组能自行排尿者40例,重置尿管10例,残余尿量≥100 ml的患者17例。观察组患者自主排尿时间较对照组提前,重置尿管例数明显低于对照组,差异有统计学意义。结论围手术期膀胱功能训练有利于膀胱自主排尿功能的恢复,对减少患者痛苦,减轻心理和生理负担,缩短住院时间,起着积极的作用。Objective To explore the impact of nursing intervention on the recovery of independent urinary function in patients after radical resection of rectal carcinoma,reduce the discomfort and urinary tract infection which improper care bright to the patients.Methods One hundred patients undergoing a rectal carcinoma surgery were equally randomized into an observation group and a control group（n=50）.The conventional nursing care was given to the control group,while their counterparts in the observation group were subjected to the perioperative bladder function training.The natural micturition,auxiliary micturition,urine retention and residual urine output after pulling urinary canal were observed.Results In observation group,48 patients micturate naturally,only 2 patients needed to reset urinary canal,the residual urine output was more than 100 ml in 8 patients;the above number in the control group was 40,10 and 17,respectively.The independent urination time was earlier in observation group than that in the control group.The incidence rate of urinary retention was lower in observation group than that in the control group.Conclusion The perioperative bladder function raining can effectively improve recovery of independent urinary function,which should reduce the pains,decrease the psychological and physiological burden,shorter the hospital stay.

关 键 词：直肠癌 护理干预 膀胱功能 

分 类 号：R473.73[医药卫生—护理学] R735.57[医药卫生—临床医学]