多学科合作干预对广泛性全子宫切除术后患者膀胱功能恢复的影响  

Effect of multidisciplinary intervention on recovery of bladder function after total extensive hysterectomy

作　　者：陈宏[1] 汪莎 Chen Hong;Wang Sha(Department of Gynecology,Zhongnan Hospital of Wuhan University,Wuhan 430071 ,China)

机构地区：[1]武汉大学中南医院妇科,湖北武汉430071

出　　处：《护理学杂志》2019年第2期27-30,共4页Journal of Nursing Science

基　　金：湖北省卫计委2018年度联合基金立项项目-药护技和管理项目(WJ2018H0023)

摘　　要：目的探讨多学科合作干预促进广泛性全子宫切除术后患者膀胱功能恢复的临床效果。方法将150例广泛性全子宫切除术患者按住院时间分为对照组与观察组各75例。对照组实施常规护理,观察组在对照组的基础上给予多学科合作干预。比较两组术后尿管留置时间、泌尿系感染发生率;术后1个月进行膀胱功能评估量表评分、残余尿测定及尿动力学检测。结果观察组术后尿管留置时间显著短于对照组,泌尿系感染发生率显著低于对照组(P<0.05,P<0.01);术后1个月观察组膀胱功能恢复程度、最大尿流率、逼尿肌收缩力、最大膀胱容量显著优于对照组,膀胱功能评分显著低于对照组(P<0.05,P<0.01)。结论多学科合作干预可促进广泛性全子宫切除术后患者膀胱功能恢复。Objective To explore the clinical effect of multidisciplinary intervention on recovery of bladder function in patients after total extensive hysterectomy.Methods A total of 150 patients undergoing extensive hysterectomy were divided into a control group and an observation group according to their hospitalization time,with 75 cases in each group.The control group was given routine care,while the observation group additionally received multidlseiplinary intervention.Catheter indwelling time and incidence of urinary tract infection were compared between the two groups.The bladder function score measured using the Measurement of Urinary Handicap (MUH)symptom-scoring questionnaire,amount of residual urine and urodynamics were also evaluated at 1 month postoperatively.Results The observanon group had significantly shorter catheter indwelling time and lower urinary tract infection rate compared to the control group (P<0.05,P<0.01).The degree of bladder function recovery,maximum urinary flow rate, detrusor contraetility and maximum bladder volume were significantly higher,whereas the MUH score was significantly lower in the observation group than those in the control group at 1 month postoperatively (P<0.05,P<0.01).Conclusion Multidiselplinary intervention can promote bladder function recovery of patients after total extensive hysterectomy.

关 键 词：广泛性全子宫切除术 多学科合作干预 膀胱功能 尿管留置时间 泌尿系感染 残余尿 尿动力学 

分 类 号：R473.71[医药卫生—护理学] R713.42[医药卫生—临床医学]