吕新玲

妇产科患者尿潴留护理观察

吕新玲

目的 对妇产科患者尿潴留的临床护理措施和效果进行观察研究。方法 选取于2013年10月～2016年1月在我院接受治疗的妇产科尿潴留患者106例，按1：1随机分为对照组和实验组各53例，分别应用常规护理和综合护理，对护理效果进行对照研究。结果 实验组患者的重置导尿管率低于对照组（7.55% vs. 24.53%），自行排尿时间短于对照组，膀胱残留尿量少于对照组，护理满意度评分高于对照组，差异具有统计学意义（P＜0.05）。结论 妇产科患者尿潴留应用综合护理的效果十分理想。

妇产科；尿潴留；护理

【Abstract】

Objective To make an observation and analysis of clinical nursing methods and effects on patients with urinary retention in gynecology and obstetrics department. Methods Chose 106 patients with urinary retention who were treated in gynecology and obstetrics department of hospital from October 2013 to January 2016 and separated them into control group and study group randomly with 53 patients in each group，according to 1：1 ratio，and then compared conventional nursing effect to comprehensive nursing effect between two groups. Results Patients’ catheter replacement rate in study group was much lower than that in control group（7.55% vs. 24.53%）. Patients’ selfurination time was shorter and their bladder residual urine was much less in study group and compared to counterparts in control group. Patients’nursing satisfaction rate in study group was quite higher than that in control group，there was a big differential between two groups and such a differential has statistic value（P＜0.05）. Conclusion Comprehensive nursing is quite effective on patients with urinary retention in gynecology and obstetrics department.

【Key words】Gynecology and obstetrics department，Urinary retention，Nursing

尿潴留这种并发症在妇产科手术后患者中较为常见，以自行排尿、小便不利、腹部胀满等为主要的临床表现形式，临床主要采用膀胱区热敷、导尿法、温水冲洗会阴部、肌注新斯的明等进行治疗，虽然具有一定的效果，但是容易导致泌尿系统感染及其它并发症的发生［1］。本院将综合护理应用于2013年10月～2016 年1月接受治疗的妇产科尿潴留患者中，效果满意，现报道如下。

1　资料和方法

1.1一般资料

选取于2013年10月～2016年1月在我院接受治疗的妇产科尿潴留患者106例，按密封信封法将上述患者1：1随机分为对照组和实验组各53例，对照组中年龄最小的患者和年龄最大的患者分别为23岁和45岁，平均年龄（32.56±4.33）岁；剖宫产术患者15例，子宫全切术患者11例，卵巢良性肿瘤切除术患者10例，广泛性子宫全切术患者例13，其他患者4例。实验组中年龄最小的患者和年龄最大的患者分别为21岁和47岁，平均年龄（32.62±4.30）岁；……