系统化护理干预对全脑血管造影术后尿潴留的影响  

Effect of systematic nursing intervention on urinary retention after total cerebral angiography

作　　者：吴玉媚[1] 贺为[1] 邵丹丹 谭婉婷[1] 曾玉恩 WU Yumei;HE Wei;SHAO Dandan;TAN Wanting;ZENG Yuen(Department of Encephalopathy,Zhuhai Hospital,Guangdong Hospital of Traditional Chinese Medicine,Guangdong Province,Zhuhai519015,China)

机构地区：[1]广东省中医院珠海医院脑病内科

出　　处：《中国医药导报》2020年第1期190-193,共4页China Medical Herald

基　　金：广东省中医药局科研项目（20191300）

摘　　要：目的探讨系统化护理干预对全脑血管造影术后尿潴留发生率的影响,从而为脑血管疾病的临床护理提供参考。方法选取2017年5月~2019年5月广东省中医院珠海医院脑病内科实施全脑血管造影术患者265例,采用随机数字表法将患者分为观察组133例和对照组132例。对照组进行常规护理,而观察组在常规护理的基础上实施心理护理、健康教育、床上排尿训练等系统化护理干预措施。观察两组术后尿潴留发生率、排尿功能、并发症发生情况及患者治疗满意度。结果观察组患者术后尿潴留发生率明显低于对照组,排尿功能明显优于对照组,差异均有统计学意义(均P <0.05);观察组并发症发生率明显低于对照组,差异有统计学意义(P <0.05);观察组患者治疗总体满意度明显高于对照组,差异有统计学意义(P <0.05)。结论系统化护理干预可有效改善全脑血管造影术患者排尿功能,降低尿潴留及其他并发症的发生率,提高患者对治疗的满意度。Objective To explore the effect of systemic nursing intervention on the incidence of urinary retention after digital subtraction angiography, and to provide reference for the clinical nursing of cerebrovascular diseases. Methods From May 2017 to May 2019, 265 patients underwent total cerebral angiography in the Department of Encephalopathy,Zhuhai Hospital of Guangdong Hospital of Traditional Chinese Medicine were selected, and the patients were divided into observation group 133 cases and control group 132 cases by random number table method. The control group received routine nursing, while the observation group carried out systematic nursing intervention measures such as psychological nursing, health education, and bed urination training on the basis of routine nursing. The incidence of urinary retention, urination function, complications and patient satisfaction were observed. Results The incidence of postoperative urinary retention in the observation group was significantly lower than that in the control group, and the urination function was significantly better than that in the control group, with statistically significant differences(P < 0.05).The incidence of complications in the observation group was significantly lower than that in the control group, and the difference was statistically significant(P < 0.05). The overall treatment satisfaction of the observation group was significantly higher than that of the control group, with statistically significant difference(P < 0.05). Conclusion Systematic nursing intervention can effectively improve the urination function of patients with digital subtraction angiography, reduce the incidence of urinary retention and other complications, and improve patients′ satisfaction with treatment.

关 键 词：系统化护理干预 全脑血管造影术 尿潴留 

分 类 号：R473.5[医药卫生—护理学]