神经外科择期手术患者术前排尿训练现状调查分析及护理对策  

Investigation and nursing strategies of the current situation of preoperative urination training in selective neurosurgical patients in department of neurosurgery

作　　者：蒋紫娟[1] 朱晓娟 邓娟[1] 李悦[1] 齐玉娟 朱慧敏[1] JIANG Zijuan;ZHU Xiaojuan;DENG Ju a n;LI Yue;QI Yujuan;ZHU Huimin(Department of Neurosurgery,Affiliated Brain Hospital of Nanjing Medical University,Nanjing,Jiangsu,210029)

机构地区：[1]南京医科大学附属脑科医院神经外科,江苏南京210029

出　　处：《实用临床医药杂志》2018年第12期84-86,共3页Journal of Clinical Medicine in Practice

基　　金：江苏省南京市医学科技发展项目(YKK16154)

摘　　要：目的通过调查神经外科择期手术患者术前排尿训练现状,分析原因并采取针对性的护理措施并实施。方法调查本院2016年4月神经外科择期手术患者术前排尿训练的情况,并对调查结果进行原因分析、拟定护理对策并实施。在护理对策实施后于2016年8月再次对神经外科择期手术患者进行术前排尿训练执行情况的调查。结果神经外科择期手术患者术前进行排尿训练的患者只有54%,患者知晓术前要进行排尿训练,但对排尿训练的重要性认识不足,对排尿训练的方法不知晓,术前排尿训练依从性较低。通过护理对策实施后再次对择期手术患者进行术前排尿训练调查,患者术前进行排尿训练依从性提高至89%。结论通过规范术前排尿训练的方法和流程,增加排尿训练相关知识健康教育的形式、内容,监测健康教育落实效果,能有效提高神经外科择期手术患者术前排尿训练依从性。Objective To investigate the status quo of preoperative urination training in the selective neurosurgical patients and to analyze reasons and its nursing strategies. Methods A selfdesigned questionnaire was used to investigate the status of preoperative urination training from April2016. and reasons were analyzedand the nursing strategies were proposed. Meanwhile. the status of preoperative urination training for patients from August 2016 with nursing strategies was analyzed. Results Only 54% of the selective neurosurgical patients performed preoperative urination training.Though patients were aware of the necessity of preoperative urination training. attached little importance to preoperative urination training. Therefore,the overall compliance rate was low than nursing before,but increased to 89% after nursing. Conclusion The patient＇ s compliance can be greatly improved by normalizing preoperative urination training methods and processes. adding urination training related knowledge and health education forms and contents. monitoring efficacy of health education.

关 键 词：神经外科 择期手术 术前排尿训练 现状调查分析 

分 类 号：R473.6[医药卫生—护理学]