舒适护理在老年男性患者肛肠术后排尿困难应用  

The Application Research of Comfortable Nursing in Elderly Male Patients with Anorectal Postoperative Dysuria

作　　者：陈少娴[1] 苏雁华[1] 张秀娜[1] 伍炎俊[1] 司徒升[1] 

机构地区：[1]广东医学院附属开平医院:开平市中心医院外五科,广东开平529300

出　　处：《黑龙江医学》2016年第6期571-573,共3页Heilongjiang Medical Journal

摘　　要：目的 研究舒适护理在老年男性患者肛肠术后排尿困难中的应用。方法 选取在广东医学院附属开平医院治疗的106例男性肛肠疾病患者,按入院时间分随机分为实验组和对照组。对照组在无麻醉情况下进行导尿,实验组在老年男性患者肛肠手术毕,回病房立即在30~60 min内麻醉有效期间进行导尿术,对比两组患者在置管过程中疼痛不适程度、置管成功率,置管后耐受性,拔除尿管后排尿情况、重复置管率、尿路感染情况及对术后伤口疼痛、水肿、出血影响。结果 实验组患者的置管成功率显著高于对照组,置管过程中疼痛不适程度低于对照组,耐受性显著高于对照组,拔除尿管后畅顺自行排尿高于对照组、重复置管率低于对照组,尿路感染率低于对照组。结论 通过对老年男性肛肠手术患者采取预见性舒适护理措施进行无痛性导尿,降低术后并发症,减轻患者痛苦,保证手术的质量和效果,提高患者舒适度和满意度,得以在临床护理中进行推广。Objective To study the comfort care in elderly male patients with anorectal postoperative dysuria Application. Methods 106 eases of male patients were chosen in the hospital treated with anorectal disease. According to admission time points, they were randomly di- vided into experimental and control group. The control group was under the condition of without anesthesia for urethra] catheterization, and the elderly male patients in the experimental was conducted immediate urethral catheterization within 30 ~ 60 rain, which was the effective period of anesthesia after returned to the ward, The degree of discomfort tube, the success rate of catheter, catheter removal urination, repeated cathe- terization rate, urinary tract infection and postoperative wound pain, edema, and hemorrhage were compared. Results Catheterization suc- cess rate of the experimental group were significantly higher, and catheterization discomfort pain tolerance was lower than the control group. After removing the catheter, the urination was smoother than the control group. The repeating home pipe rate was lower than the control group, and urinary tract infection was also lower than the control group. Conclusion Applying elderly male patients anorectal surgery predictability comfort care measures painless catheterization conld reduce postoperative complications and alleviate the pain of patients.And also this method could ensure the quality and effectiveness of surgery, and improve the satisfaction and comfort of the patient, which could be promoted in clinical nursing.

关 键 词：舒适护理 肛肠手术 排尿困难 老年男性患者 

分 类 号：R248.1[医药卫生—中医临床基础]