摘要
目的:探究护患联合护理管理模式与膀胱功能训练对宫颈癌患者行根治术后尿潴留的影响。方法:选取本院2012年7月-2015年8月收治的101例宫颈癌患者作为研究对象,所有患者行宫颈癌根治术。按照随机数字表法将所有患者分为对照组49例和观察组52例。对照组行一般常规护理,观察组在一般常规护理基础上行护患联合护理管理与膀胱功能训练。观察比较两组患者宫颈癌根治术后发生尿潴留的情况、拔尿管后尿残余量及自主排尿情况。结果:观察组患者宫颈癌术后尿潴留发生率5.7%(3/52)明显低于对照组的24.5%(12/49),差异有统计学意义(X^2=6.9915,P=0.0082)。观察组患者尿残余量≤50 m L所占比例46.2%明显高于对照组的24.5%,尿残余量>100 m L所占比例7.7%明显低于对照组的30.6%,差异均有统计学意义(P<0.05)。而两组患者50 m L<尿残余量≤100 m L所占比例比较差异无统计学意义(P>0.05)。观察组患者自主成功排尿时间(6.55±2.34)h,明显短于对照组的(10.46±2.65)h,自主排尿率53.8%明显高于对照组的30.6%,重新置管排尿比例7.7%明显低于对照组的28.6%,差异均有统计学意义(P<0.05)。结论:护患联合护理管理模式与膀胱功能训练联合护理宫颈癌根治术后患者能够显著恢复膀胱排尿功能,降低尿潴留的发生率,并且帮助患者尽快恢复自主排尿,效果较好且简单易行,适合临床推广使用。
Objective：To explore the effect of nurse-patient combined with nursing management and bladder function training on urinary retention of cervical cancer patients after radical operation.Method：One hundred and one patients with cervical cancer admitted to our hospital from July 2012 to August 2015 were selected as the research objects,they were divided into the control group for 42 cases and the observation group for 52 cases.The control group was given general routine nursing,while the observation group was given nurse-patient combined with nursing management and bladder function training on the basis of general routine nursing care.The incidence of urinary retention,the residual urine volume and the spontaneous urination after extubation between the two groups were compared after cervical cancer radical operation.Result：The incidence of urinary retention after cervical cancer radical operation in the observation group was 5.7%,which was significantly lower than 24.5% of the control group,the difference was statistically significant（ X^2=6.9915,P=0.0082）.The proportion of patients with residual urine≤50 m L in the observation group was 46.2%,which was significantly higher than 24.5% of the control group,the proportion of patients with residual urine 〉100 m L in the observation group was 7.7%,which was significantly lower than 30.6% of the control group,the differences were statistically significant（P〈0.05）.There was no statistically significant difference in the number of patients with 50 m L 〈residual urine≤100 m L between the two groups（P〉0.05）.The spontaneous urination time of the observation group was（6.55±2.34）h,which was significantly shorter than（10.46±2.65）h of the control group, the spontaneous urination of the observation group was 53.8%,which was significantly higher than 30.6% of the control group,the patients needed to reset the catheter in the observation group amounted to 7.7%,which was significantly lower than 28.6% of the control group,the differences were statistically significant（P〈0.05）.Conclusion：The combination care of nurse-patient combined with nursing management and bladder function training on patients with cervical cancer after radical operation can significantly recover the bladder＇s urinary function,reduce the incidence of urinary retention,and subserve patients＇ recovery of spontaneous urination as soon as possible,the effect is good and the method is simple and feasible,suitable for clinical promotion.
出处
《中国医学创新》
CAS
2016年第9期78-81,共4页
Medical Innovation of China
关键词
护患联合护理管理
膀胱功能训练
宫颈癌根治术
尿潴留
Nurse-patient combined with nursing management
Bladder function training
Cervical cancer radical operation
Urinary retention
