临床护理路径对预防宫颈癌患者根治术后尿潴留的效果  

Effect of clinical nursing path on prevention of postoperative urinary retention in patients with cervical cancer surgery

作　　者：卢小玲[1] 罗敏婵[2] 梁志群[1] 冼伟[1] 陈方碧 陈中文[1] Lu Xiao ling;Luo Minchan;Liang Zhiqun;Xian Wei;Chen Fangbi;Chen Zhongiven(Department of Gynaecology , the First People z5 Hospital of Zhaoqing City, Guangdong Province, Zhaoqing 526060, China;Department of Nursing, the First People's Hospital of Zhaoqing City, Guangdong Province, Zhaoqing 526060 , China)

机构地区：[1]广东省肇庆市第一人民医院妇科,526060 [2]广东省肇庆市第一人民医院护理部,526060

出　　处：《国际护理学杂志》2019年第9期1247-1250,共4页international journal of nursing

基　　金：2016年肇庆市科学技术局科研项目〔00208381150413044〕.

摘　　要：目的探讨临床护理路径对宫颈癌患者根治术后尿潴留中的应用效果。方法选取2016年6月~2017年11月在该院妇科收治的宫颈癌根治术的患者80例作为研究对象。根据责任分组不同将其分为研究组和对照组,各40例。研究组接受按临床护理路径干预,对照组患者接受常规护理干预。结果研究组患者膀胱功能、生活质量和护理满意度显著优于对照组,差异均有统计学意义(均P<0.05);研究组患者的尿潴留发生率、置管时间、尿管重置率、残余尿量、住院时间均显著低于对照组患者,差异有统计学意义(均P<0.05)。结论对宫颈癌根治术患者实施临床护理路径干预能有效降低宫颈癌根治术患者尿潴留发生率,提高患者生活质量和护理满意度,值得推广应用。Objective To investigate the application effect of clinical nursing path on prevention of postoperative urinary retention in patients with cervical cancer surgery. Methods From June 2016 to November 2017, a total of 80 patients admitted to the hospital for radical cervical cancer surgery were selected as the research objects.According to different responsibility groups, they were divided into the study group and the control group, 40 cases of each group.The study group received clinical nursing intervention.The control group received routine nursing intervention. Results Bladder function, quality of life, nursing satisfaction of patients in the study group were significantly better than those in the control group, and the differences were statistically significant(P<0.05). The incidence of urinary retention, catheter placement time, catheter replacement rate, residual urine volume and length of hospital stay were significantly lower in the study group than those in the control group, and the differences were statistically significant(P<0.05). Conclusions Clinical nursing pathway intervention for patients undergoing radical cervical cancer surgery can effectively reduce the incidence of urinary retention in patients undergoing radical cervical cancer surgery, improve the quality of life and nursing satisfaction of patients, which is worthy of promotion and application.

关 键 词：临床护理路径 宫颈癌 根治术 尿潴留 

分 类 号：R473.73[医药卫生—护理学]