基于感控管理的疾病教育对宫颈癌术后放疗尿潴留患者保留导尿质量的影响  

Effect of disease education based on sensitivity control management on retention of urethral catheter quality in patients with postoperative radiotherapy for cervical cancer with urinary retention

作　　者：曾辉 Zeng Hui(No.1 of Gynecological Ward,Nanyang Central Hospital,473000,China)

机构地区：[1]南阳市中心医院妇科一病区,473000

出　　处：《国际护理学杂志》2021年第15期2752-2756,共5页international journal of nursing

基　　金：河南省医学科技攻关计划省部共建项目 (编号201604125)。

摘　　要：目的探讨基于感控管理的护理教育对宫颈癌术后放疗期间尿潴留患者保留导尿质量的影响。方法选取2016年1月至2017年6月期间的136例宫颈癌术后放疗期间尿潴留行保留导尿患者,随机分为对照组及观察组,在导管管护理过程中对照组给予常规疾病教育,观察组给予基于感控管理的疾病教育,比较两组患者导尿管相关感染发生情况、导尿管使用情况及患者排尿功能恢复情况。结果观察组导尿管相关感染发生率低于对照组,非计划拔管率低于对照组,一次性拔管成功率高于对照组,恢复自主排尿时间及保留导尿时间低于对照组,两组导尿前尿白细胞分级比较差异无统计学意义,导尿后1 w观察组白细胞分级低于对照组,差异有统计学意义(P<0.05)。护理后观察组的残余尿量及尿白细胞阳性率构成优于对照组,一次性拔管成功率高于对照组,自主排尿时间构成优于对照组,自主排尿率高于对照组,组间比较差异有统计学意义(P<0.05)。结论对宫颈癌术后放疗尿潴留患者实施基于感控管理的疾病教育能够降低患者导管尿相关感染发生率,提高导尿管的使用质量,有助于患者排尿功能的恢复。Objective To explore the effect of nursing education based on sensitivity control management on the retention of catheterization quality of patients with urinary retention during postoperative radiotherapy for cervical cancer.Methods A total of 136 patients with cervical cancer with urinary retention during postoperative radiotherapy from January 2016 to June 2017 were selected and randomly divided into control group and observation group.In the process of catheter care,the control group was given routine disease education,while the observation group was given disease education based on infection and control management.The incidence of catheter-related infection,the use of catheters and the recovery of patients'urination function were compared between the two groups.Results The incidence of catheter-related infection in the observation group was lower than that in the control group,the rate of unplanned catheter removal was lower than that in the control group,the success rate of one-time catheter removal was higher than that in the control group,and the recovery time of spontaneous urination and retention time of catheterization were lower than that in the control group.There was no significant difference between the two groups in the grading of urine white blood cells before catheterization(P>0.05).The grade of white blood cells in the observation group was lower than that in the control group 1 week after catheterization,and the difference was statistically significant(P<0.05).After nursing,the composition of residual urine volume and positive rate of urine white blood cells in the observation group was better than that in the control group,and the success rate of one-time extubation was higher than that in the control group,the composition of independent urination time was better than that in the control group,and the independent urination rate was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions The implementation of disease education based on infec

关 键 词：宫颈癌手术 放疗 尿潴留 感控管理 

分 类 号：R473.73[医药卫生—护理学]