不同护理措施对促进宫颈癌术后患者自主排尿的对比研究.docVIP

精品论文 参考文献 不同护理措施对促进宫颈癌术后患者自主排尿的对比研究 劳东玲　(广西钦州市第二人民医院　广西钦州　535000) 【摘要】目的　探讨促进宫颈癌术后患者自主排尿的有效护理措施。 方法　将我院2009年3月～2011年3月宫颈癌根治术后患者122例随机分为两组，观察组62例，对照组60例。对照组按照护理常规间断放尿配合常规的排尿训练，观察组进行有效的盆底肌肉锻炼，配合个体化放尿训练及拔管后坐浴。观察两组术后恢复自主排尿情况。结果　对照组拔除尿管后B超下测定残余尿量为168plusmn;9ml，发生尿潴留43例，观察组残余尿量为58plusmn;6ml，尿潴留13例，两组比较有显著性差异(Plt;0.01)。对照组留置尿管时间为16.4plusmn;2.3天,观察组为12.3plusmn;0.8天，两组比较有显著性差异(Plt;0.01)。对护理工作满意度比较，两组患者差异具有统计学差异（Plt;0.01）结论　观察组采用的护理干预措施可有效预防和减少宫颈癌术后尿潴留的发生，缩短术后尿管留置时间，促进了患者恢复自主排尿，减少病 人的住院时间，降低了治疗成本。 【关键词】护理　宫颈癌术后　自主排尿 【中图分类号】R473.73 【文献标识码】B 【文章编号】2095-1752（2012）05-0246-02 Comparatively study the different nursing interventions to promote autonomicmicturation of postoperative cervical cancer patients 【Abstract】Objective： To discuss the effective nursing measures to promote autonomous Urination of cervical cancer patient after operation. Methods：selected 122 postoperativecervical cancer patients from 2009 March ～ 2011 March as Object of study，and randomly divided the into two groups，The experimental group has 62 cases，the control group has 60cases. The control group received intermittent release of urine with normal voiding training, the experimental group performed effective pelvic floor muscle training, with individualized releasingurine training and extubation after bath. Then observed the postoperative restoration of spontaneous urination situation. Results： The control group after removal of catheter under Bultrasound determination of residual urine volume was 168plusmn;9ml, the incidence of urinary retention in 43 cases, the experimental group of residual urine volume was 58plusmn;6ml, 13 cases ofurinary retention, two groups had significant difference ( P lt; 0.01 ). indwelling catheter time of control group was 16.4 plusmn;2.3 days，the experimental group was 12.3 plusmn; 0.8 day,two groups had significant difference ( P lt; 0.01 ). the two groups were statistically significant differences(P lt;0.01) in satisfaction of care work. Conclusions：The experimental groupused nu