骨科术后尿潴留的综合护理干预对策  

Comprehensive Nursing Intervention Measures for Postoperative Urinary Retention of Orthopedics Surgery

作　　者：邓宏伟 程静 邓立伟 谢建军 

机构地区：[1]三河市燕郊人民医院,河北三河065201 [2]张家口市肺科医院

出　　处：《中外医学研究》2018年第4期63-65,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨骨科术后尿潴留的综合护理干预对策。方法:将56例骨科术后尿潴留患者随机分为干预组和对照组,各28例。对照组给予常规护理,干预组在常规护理基础上进行综合护理行为干预。记录比较两组患者术后镇痛率及留置尿管率。观察两组膀胱残余尿量、术后首次排尿时间及术后尿潴留恢复时间。结果:干预组患者术后镇痛率为39.3%(11/28),对照组患者术后镇痛率为46.4%(13/28),两组比较差异无统计学意义(X^2=0.292,P=0.589)。两组均按照手术流程,在术中留置尿管,留置尿管率均为100%。术后连续3 d超声扫描监测膀胱残余尿量,干预组均优于对照组,差异均有统计学意义(t=-2.383、-2.424、-2.135,P<0.05)。干预组术后首次排尿时间及术后尿潴留持续时间均短于对照组,差异均有统计学意义(t=-3.023、-2.259,P<0.05)。结论:综合护理干预可以明显改善膀胱功能,促进骨科术后尿潴留的恢复。Objective： To investigate the comprehensive nursing intervention strategy for urinary retention after orthopedics surgery.Method： A total of 5ti patients with postoperative urinary retention after orthopedics surgery were randomly divided into intervention group and control group.The control group was given routine nursing, the intervention group was given comprehensive nursing behavior intervention on the basis of routine nursing.The postoperative analgesic rate and indwelling catheter rate were compared between the two groups.The residual urine vdume of bladder, first urination time after surgery and the recovery time of postoperative urinary retention were observed in the two groups.Result： The postoperative analgesia rate of the inte^ention group was 39.3%, the postoperative analgeJia rate was 46,4% in the control group, there was no statistically significant difference（~=0.292, P=O.589）.Both groups were treated according to the surgical pro^e~dure, the catheter was indwelling, and the catheter rate was 100%.The residual urine volume of bladder was monitored by uhrasonography for three days after operation, the intervention group was better than that of the control group, the difference was statistically significant （t=-2.383, -2.424, -2.135, P〈0.05）,The first urination time after surgery and the recovery time of postoperative urinary retention in the intervention group were better than the control group, the differences were statistically significant（t=-3.023, -2.259, P〈O.O5）.Condusion： Comprehensive nursing intervention can obviously improve bladder function and promote the recovery of postoperative urinary retention after orthopedics surgery.

关 键 词：术后尿潴留 骨科手术 综合护理干预 

分 类 号：R473.6[医药卫生—护理学]