经尿道前列腺电切术后排尿困难原因分析及护理.docVIP

经尿道前列腺电切术后排尿困难原因分析及护理 鲍雯陈伟锋（通讯 ）钟冰钟淑英 （广东药学院附属第二医院/广州新海医院广东广州510300） 【 】目的 探讨经尿道前列腺电切术仃URP）后排尿困难的原因以及 护理措施。方法 收集2011年月至2013年12月，我院住院行TURP的患者120 例，随机分为观察组与对照组，各60例，对照组行常规护理，观察组行预见性 护理模式。结果观察组无排尿困难发生，对照组发牛率为26.7%,观察组显著 低于对照组；观察组的住院时间显著短于对照组；观察组的护理满意度为100.0%, 显著高于对照组的90.0% （Plt;0.05）o结论 分析TURP术后发生排尿困难的原 因，早期实施预见性护理，有利于减少排尿困难等并发症，提高临床护理质量及 患者的满意度，值得推广应用。 【关键词】排尿困难 经尿道前列腺电切术 预见性护理 【中图分类号】R473.6 【文献标识码】A 【文章编号】2095-1752 （2014） 07-0070-02 Analysis of the etitology of dysuria after transurethral resection of prostate and the nursing for it. Bao wen, Chen Wei-feng, Zhong bing, Zhong Shu-ying. The Second Affiliated Hospital of Guangdong Pharmaceutical University/Guangzhou Xinhai Hospital, Guangzhou510300, Guangdong, China [Abstract] Objective: To discuss the causes of difficulty of urination after TURP and nursing measures. Methods: Collect!ng 120 TURP patients in our hospital from 2011 to December 2013, randomly divided them into observation group and control group. 60 patients in the control group underwent routine care and others in observed group receive predictive nursing. Results: There was no dysuria occurred in the observation group but the rate was 26.7% in the control group ? So observation group was significantly lower than the control group, the hospitalization time of the observation group was sign讦icantly shorter than the control group. Nursing of observation group satisfaction was 100.0%,which was markedly higher than 90.0% of the control group . (P lt;0.05). Conclusion: The analysis of postoperative dysuria TURP reason, early implementation of nursing helps reduce complications such as difficulty urinating.To improve the quality of clinical nursing and patient satisfaction,these should be widely applied. 【Keywords］ Dysuria Transurethral resection of prostate Foreseeing nursing 经尿道前列腺电切术(TURP)是目前临床治疗前列腺增生的标准术式， 相比于传统开放手术具有创伤小、术中出血少、患者的痛苦少以及术后恢复快等 优点［1］。但该术式仍属于有创疗法，并发症不可避免，排尿困难是其最为常见 的一种，严重影响患者的生活质量［2］。我院在TURP患者的临床护理工作中介入 预见性护理模式，获得了满意效果，现报道如下： .资料与方法 1.1 一-般资料