痔瘘术后预防尿潴留的健康教育模式探讨.pdfVIP

现代临床护理(Modem Clinical Nursing)2oo8．7(2) · 健康教育· 痔瘘术后预防尿潴留的健康教育模式探讨 樊丽君，郭 伟 (保定市第二医院，河北保定，071051) [摘 要】 目的 探讨改良的健康教育模式对预防痔瘘术后尿潴留的作坩。方法 本研究随机抽取痔瘘手术患者 140例，随机纳入对照组和实验组，每组各70例。对照组采用传统的健康教育方法及诱导排尿法．实验组采用术后适量饮水 (300—500fn1)，帮助患者在无尿意时尽早排尿等改良的健康教育模式。观察两组术后排尿时问及尿潴留的发生率。结果 对 照组与实验组术后尿潴留发生率及术后排尿时间具有统计学差异(，J0．05)，其中实验组尿潴留的发生率低于对照组，术后首 次排尿时间明显缩短。结论 健康教育模式的改变，可以缩短痔瘘术后首次排尿时问，避免尿潴留的发生。 【关键词1痔瘘术后；尿潴留；健康教育；早期排尿 [中图分类号] R473 6 [文献标识码] A [文章编号] 1671—8283(2008)02—0062—02 [Abstract]Objective To discuss the effect of improved health education mode on the prevention of urosehesis after hemorrhoid fistula operation．Methods 140 cases of hemorrhoid fistula operation were randomly selected and divided into the control group and the experimental group，with 70 cases in each group．Induction mieturition and traditional health education mode were used in the control group，while in the experimental group，improved health education nmde was used including helping the patients early micturition and drinking modest water after operation． Time of micturition and the incidence of uroschesis of the two groups after operation were compared．Results The control group and the experimental group had great statistical significance for the incidence of uroschesis after operation and the time of micturition(,all，J0．05)．The incidence of uroschesis of die experiniental group is lower and the time of first micturitionafter operation is shorten than those in the control group． Conclusion Alteration of health education mode ea／t shorten the first micturition time after hemorrhoid fistula operation and avoid the occunence of uroschesis． [Key words]hemorrhoid fistula operation；uroschesis；health education；early mictuntion 痔瘘发病率很高．手术治疗是最根本的方法。 1 对象与方法 但是。