以间歇导尿为核心的综合护理干预对分娩镇痛后尿潴留的预防效果  

Preventive Effect of Comprehensive Nursing Intervention with Intermittent Catheterization as the Core on Urinary Retention After Labor Analgesia

作　　者：夏荣悦 XIA Rongyue(Obstetrics Department of Tianjin Third Central Hospital,Tianjin 300170,China)

机构地区：[1]天津市第三中心医院产科,天津300170

出　　处：《医学信息》2025年第2期165-168,共4页Journal of Medical Information

摘　　要：目的分析以间歇导尿为核心的综合护理干预对分娩镇痛后尿潴留的预防效果。方法以2023年2月-5月天津市第三中心医院拟行分娩镇痛的58例待产妇为研究对象,经随机数字表法分为对照组(29例)和观察组(29例)。对照组行常规护理干预,观察组在其基础上开展以间歇导尿为核心的综合护理干预,比较两组产后排尿情况(留置尿管、尿潴留、尿失禁)、产后排尿时间、住院时间、产后盆底肌评分、产妇满意度。结果观察组留置尿管率、尿潴留率、尿失禁发生率均小于对照组(P<0.05);观察组产后排尿时间、住院时间均短于对照组(P<0.05);两组产后15 d盆底肌评分均高于产后24 h,且观察组产后盆底肌评分高于对照组(P<0.05);观察组产妇满意度高于对照组(P<0.05)。结论以间歇导尿为核心的综合护理干预可改善分娩镇痛产妇的产后排尿情况,减少尿潴留等排尿障碍的发生,缩短其产后排尿及住院时间,促进盆底肌恢复,提高产妇满意度。Objective To analyze the preventive effect of comprehensive nursing intervention with intermittent catheterization as the core on urinary retention after labor analgesia.Methods From February to May 2023,58 parturients who planned to undergo labor analgesia in Tianjin Third Central Hospital were selected as the research objects.They were divided into control group(29 parturients)and observation group(29 parturients)by random number table method.The control group was given routine nursing intervention,and the observation group was given comprehensive nursing intervention with intermittent catheterization as the core on the basis of routine nursing intervention.The postpartum urination(indwelling catheter,urinary retention,urinary incontinence),postpartum urination time,hospitalization time,postpartum pelvic floor muscle score and maternal satisfaction were compared between the two groups.Results The rates of indwelling catheter,urinary retention and urinary incontinence in the observation group were lower than those in the control group(P<0.05).The postpartum urination time and hospitalization time in the observation group were shorter than those in the control group(P<0.05).The pelvic floor muscle scores of the two groups at 15 days after delivery were higher than those at 24 hours after delivery,and the postpartum pelvic floor muscle score of the observation group was higher than that of the control group(P<0.05).The maternal satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion Comprehensive nursing intervention with intermittent catheterization as the core can improve the postpartum urination of parturients with labor analgesia,reduce the occurrence of urination disorders such as urinary retention,shorten the postpartum urination and hospitalization time,promote the recovery of pelvic floor muscles,and improve the nursing satisfaction.

关 键 词：分娩镇痛 尿潴留 间歇导尿 综合护理 盆底肌功能 

分 类 号：R473[医药卫生—护理学]