个体化护理对预防恶性肿瘤患者行全子宫切除及盆腔淋巴结清扫术后尿潴留的效果评价  

Effect of individualized care on prevention of postoperative urinary retention of malignancy patients undergoing hysterectomy and pelvic lymph node dissection

作　　者：赵素珍[1] 朱峰[1] 李广芹[1] 

机构地区：[1]山东省滨州市中心医院结防院,251700

出　　处：《中国实用护理杂志》2012年第20期11-13,共3页Chinese Journal of Practical Nursing

摘　　要：目的分析研究个体化护理在恶性肿瘤行全子宫切除及盆腔淋巴结清扫患者术后尿潴留预防中的效果。方法选取2009年6月至2011年12月于本院进行恶性肿瘤行全子宫切除及盆腔淋巴结清扫术的74例患者为研究对象，并将所有患者根据随机数字表法分为对照组和观察组各37例，给予对照组患者进行传统的常规护理干预，观察组患者则给予个体化的护理评估及干预，将2组患者预防尿潴留知识点的掌握情况、护理配合度、尿潴留发生率、残余尿量及患者的满意度进行对比分析。结果观察组在预防尿潴留知识点的掌握情况、护理配合度、尿潴留发生率、残余尿量方面均较对照组呈现明显的优势，且患者的满意度也更高。结论个体化护理在恶性肿瘤行全子宫切除及盆腔淋巴结清扫患者术后尿潴留预防中的效果较好，对于改善尿潴留相关知识的掌握及配合程度均发挥着积极的作用。Objective To analyze the effect of individualized care on prevention of postoperative urinary retention of malignancy patients undergoing hysterectomy and pelvic lymph node dissection. Methods 74 cases of patients with malignancies undergoing total hysterectomy and pelvic lymph node dissection in our hospital from June 2009 to December 2011 were chosen as the research object. They were divided into the control group and the observation group with 37 cases in each group. The control group was given traditional routine care, while the observation group was given individualized nursing assessment and intervention. The grasping level of knowledge about prevention of urinary retention, the cooperation degree with nursing, incidence of urinary retention, the residual urine volume and satisfaction degree of patients were analyzed and compared between two groups. Results The grasping level of knowledge about prevention of urinary retention, the cooperation degree with nursing, incidence of urinary retention, the residual urine volume and satisfaction degree of patients in the observation group were better than those of the control group, there were significant differences. Conclusions The effect of individualized care to prevent postoperative urinary retention of malignancies patients after hysterectomy and pelvic lymph node dissection is better. It plays an active role in improving mastering of knowledge about prevention of urinary retention and cooperative degree with nursing.

关 键 词：个体化护理 恶性肿瘤 全子宫切除 盆腔淋巴结清扫 尿潴留 预防 

分 类 号：R473.73[医药卫生—护理学]