妇科恶性肿瘤术后个体化护理干预对预防尿潴留的效果评价.pdfVIP

· 64 - TODAYNURSE，February，2011，No．2 妇科恶性肿瘤术后个体化护理干预对预防尿潴留的效果评价 肖智智 冯丽嫦 康淑泉 摘要 目的 探讨个体化护理干预对预防妇科恶性肿瘤行广泛性全子宫切除术+盆腔淋巴结清扫术后患者尿潴留的效果。方法 将 8O例行广泛性全子宫切除术+盆腔淋巴结清扫术的患者随机分为观察组和对照组，各4o例。对照组按广泛性全子宫切除术+盆腔淋巴 结清扫术的常规护理，观察组在此基础上实施护理干预：行腹部肌肉锻炼，盆底肌肉锻炼，个体化排尿训练。给予针对性心理护理。2组 均在术后第4天开始夹闭尿管，锻炼膀胱括约肌。观察2组术后第1O天拔尿管后，经23次自然排尿后第2天B超检查提示残余尿量、尿 潴留的发生情况。结果 观察组在住院期间发生尿潴留2例，对照组8例，2组相 比有统计学意义(pO．05o结论 对广泛性全子宫切 除术+盆腔淋巴结清扫术的患者术前及术后行个体化的护理干预，有助于减少患者术后尿潴留的发生，能有效促进术后膀胱功能 的恢复。 关键词：妇科；恶性肿瘤；手术；尿潴留；护理 中图分类号：R473．71 文献标识码：B 文章编号：1006-6411(2011)02-0064-03 EvaluationofIndividualNursing Intervention ofUdna~ Retention afterGynecologicalMalignancy XIAO Zhi-zhi，FENG Li-chang，KANG Shu—quart Thep,rtm~．tofgynecologyofpeople hospitalofzhongshancity，528403zhongshon，Cuangdong Abstract：Objective：To explore the occurrence ofurinary retention after the lethalgynecologicalmalignancy extensive whole hysterectomy andpelvic lymph node dissection，and evaluate the effectofthe intervention．Methods：80patientsthatafterthelethal ygnecologicalmaling ancyextensivewholehysterectomy and pelviclymph nodedissection were randomly dividedinto controlgroup and interventiongroup (40patientsineachgroup)．Thepatientsincontrolgroupgotregularnursingcareafterthesurgery，whilethe patients in intervention group got nursing intcrvention additionally，which included：line abdominal muscle exercise，pelvic muscles exercise，individualized urination training．Both groupson the fourth day aftersurgery began to clip shuturinary cnaal and exercised bladdersphincter．10 daysaftersurgeryboth twogroupspulledouttheurinary cna alna don the second dayafter2-3 timesnatural urinationthenBultrasonicexaminationWas giventofigureouttheresidualurineandurineretention．Results：2easesofintervention group ocClllTed urinary retention during the hospitalization，while8 cases ofcontrolgroup occurred urinary re