腹压辅助下拔除尿管配合即效饮水法在妇科手术患者中的应用.pdfVIP

Clinical 现代临床护理(Modem Numing)2010．9(1) 腹压辅助下拔除尿管配合即效饮水法在妇科手术患者中的应用 王爱琴，张静，张云，杜娟，黄春梅 (扬中市人民医院，江苏扬中，212200) [摘要】 目的探讨妇科手术患者术后腹压辅助下拔除尿管配合即效饮水法的应用效果。方法将100例妇科手术患者随机分 为对照组和观察组各50例。观察组术后拔除尿管时采用腹压辅助下拔除尿管配合即效饮水，对照组由护士按常规方法进行拔管，并口 头嘱其饮水，待其有尿意时下床自解小便。结果观察组患者拔尿管时疼痛不适程度明显轻于对照组(PO．001)；拔管后首次排尿 时的不适感，拔管后及时饮水能促进患者及早、顺利排尿。两者有机地结合起来，既减轻了患者拔管时的痛苦，又促进了拔尿管后小便的 顺利排出。值得l临床推广应用。 [关键词]妇科手术；腹压辅助；拔尿管；饮水 1o theeffectivenessofextubationaidedabdominalandimmediatewater in [Abstract]0bjecfive by pressure drinkingpatients explore were dividedintothecontrol afterabdominal Onehundred after surgeryrandomly group gynecologicalsurgery．Methodspatientsgynecological theobservation observationdrankwater aftertheurethralcatheterwasremovedaided (n=50)and group(，I=50)．Thegroup immediately by and abdominal whiletheurethralcatheterinthecontrol wa$removedinatraditional were instructed pressure． group way patientsorally by anddiscomfortand waterearlierthaninthe nuIBestOdrinkwater．ResultsPatientsintheobservationfeltlessextubation group pain passed intheobservation water thaninthecontrol control More successfully group(PO．005)． group(P0．005)．patients grouppassed of ConclusionsCatheterremovalassistedabdominal relievethediscomfort catheterremoval．