术前床上排尿训练联合集束化护理对心房颤动射频消融术患者卧位排尿功能的影响  

Effect of pre operation urination training in bed combined with cluster nursing on supine urination function of patients with atrial fibrillation undergoing radiofrequency ablation

作　　者：魏小英[1] 李嘉蔚[1] 陈群连[1] 颜琼[1] 殷然[1] WEI Xiaoying;LI Jiawei;CHEN Qunlian;YAN Qiong;YIN Ran(Cardiovascular Intervention Room,the First Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330006,China)

机构地区：[1]南昌大学第一附属医院心内科介入室,江西南昌330006

出　　处：《中国当代医药》2024年第5期183-187,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202310371)。

摘　　要：目的研究心房颤动(以下称“房颤”)患者在射频消融术治疗期间接受术前床上排尿训练联合集束化护理干预的临床效果。方法选取2021年7月至2022年8月南昌大学第一附属医院收治的64例房颤患者作为研究对象,采用随机数字表法将其分成对照组(32例)和观察组(32例)。对照组开展常规射频护理,观察组开展术前床上排尿训练联合集束化护理干预。比较两组的手术操作时间、术后首次排尿时间、导尿次数、术后12 h残余尿量、护理前后心理状态评分、治疗依从性、护理满意度、术后膀胱功能分级、尿潴留发生情况。结果观察组的手术操作时间、术后首次排尿时间短于对照组,差异有统计学意义(P<0.05)。观察组的导尿次数和术后12 h残余尿量少于对照组,差异有统计学意义(P<0.05)。观察组的住院时间短于对照组,差异有统计学意义(P<0.05)。护理前,两组患者的心理状态评分比较,差异无统计学意义(P>0.05);护理后,观察组的心理状态评分低于对照组,差异有统计学意义(P<0.05)。观察组的治疗依从性高于对照组,差异有统计学意义(P<0.05)。观察组的护理总满意度高于对照组,差异有统计学意义(P<0.05)。术后,观察组的膀胱功能分级优于对照组,差异有统计学意义(P<0.05)。观察组的尿潴留发生率低于对照组,差异有统计学意义(P<0.05)。结论房颤患者在射频消融术治疗期间接受术前床上排尿训练联合集束化护理干预,能够帮助改善膀胱功能,保持良好心态,缩短治疗操作时间和恢复时间,减少导尿次数,防止尿潴留的发生,使治疗依从性和满意度得到显著提升。Objective To study the clinical effect of preoperative bed urination training combined with cluster nursing intervention on patients with atrial fibrillation during radiofrequency ablation treatment.Methods A total of 64 patients with atrial fibrillation who were admitted to the First Affiliated Hospital of Nanchang University from July 2021 to August 2022 were selected as the study subjects,and they were divided into control group(32 cases)and observation group(32 cases)by random number table method.The control group was treated with routine radiofrequency care,the observation group carried out preoperative bed urination training combined with a nursing bundle intervention.The operation time,time of first urination after surgery,number of catheterization,residual urine volume at 12 hours after surgery,psychological state score before and after nursing,treatment compliance,nursing satisfaction,postoperative bladder function grade and urinary retention were compared between the two groups.Results The operation time and first urination time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The catheterization times and residual urine volume at 12 h after operation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The duration of hospitalization in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in psychological status scores between the two groups(P>0.05).After nursing,the psychological status score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The treatment compliance of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total nursing satisfaction of the observation group was higher than th

关 键 词：心房颤动 射频消融术 术前床上排尿训练 集束化护理 排尿功能 

分 类 号：R473.5[医药卫生—护理学]