无痛导尿术临床观察与护理干预.docVIP

无痛导尿术临床观察与护理干预 　　【摘要】 目的：探?无痛导尿术在外科手术患者中的运用情况，并对其护理干预措施加以分析。方法：选取本院2015年12月-2016年5月所收治的120例外科手术患者作为研究对象，按随机数字表法均分为观察组与对照组，两组患者皆需行留置导尿管，观察组于麻醉起效后给予无痛导尿术，对照组采取常规导尿术。对两组患者导尿前后的心率、血压及血氧饱和度进行监测，并比较两组患者的耐受度。结果：观察组患者导尿后的收缩压、舒张压、心率及血氧饱和度与导尿前比较，差异均无统计学意义（P0.05）；对照组患者导尿后的收缩压、舒张压、心率及血氧饱和度均高于导尿，且均高于观察组导尿后，差异均有统计学意义（P0.05）。观察组患者耐受性好所占比例为65.0%，高于对照组的30.0%，差异有统计学意义（P0.05）。导尿后，两组患者的SAS评分、SDS评分均低于导尿前，且观察组更为明显，差异均有统计学意义（P0.05）；观察组患者导尿后的SAS评分、SDS评分均显著低于对照组导尿后，差异均有统计学意义（P0.05）。结论：对需留置导尿管的外科手术患者采取无痛导尿术，效果明显，患者耐受性好，且可改善患者的不良情绪，值得在临床上大力推广。 　　【关键词】 无痛导尿术； 护理干预； 外科手术 　　Clinical Observation and Nursing Intervention of Painless Urethral Catheterization/LUO Jin-ping.//Medical Innovation of China，2017，14（03）：082-085 　　【Abstract】 Objective：To explore the application of painless urethral catheterization in the surgical patients，and to analyze the nursing intervention measures.Method：120 surgical patients in our hospital from December 2015 to May 2016 were selected as the research objects，they were randomly divided into the observation group and control group，patients of the two groups were needed for indwelling catheter，the observation group after the onset of anesthesia for painless urethral catheterization，the control group received routine catheterization.Before and after catheterization of the heart rate，blood pressure and oxygen saturation of the two groups were monitored，and compared the tolerance of the two groups.Result：After catheterization，the systolic blood pressure，diastolic blood pressure heart rate and oxygen saturation of the observation group compared with before catheterization，there were no statistically significant differences（P0.05）；after catheterization，patients in the of the systolic blood pressure，diastolic blood pressure，heart rate and oxygen saturation of the control group were higher than those before catheterization and observation group，the differences were statistically significant（P 　　【Key words】 Painless urethral catheterization； Nursing intervention； Surgery