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中华妇幼临床医学杂志(电子版)

中华妇幼临床医学杂志(电子版) ›› 2012, Vol. 08 ›› Issue (04) : 482 -484. doi: 10.3877/cma.j.issn.1673-5250.2012.04.024

所属专题： 文献；

论著

综合护理干预对子宫切除术后患者排尿功能的影响
齐雪莲1, 尹淑芬1,*,*(), 刘玉芳1, 薄其美1, 郭吉红1, 高洪莲1   
  1. 1. 256603　山东滨州，滨州医学院附属医院妇科一区
  • 收稿日期:2012-05-15 修回日期:2012-07-10 出版日期:2012-08-01
  • 通信作者: 尹淑芬

Influence of Comprehensive Nursing Intervention on Patients With Urinary Bladder Function After Hysterectomy

Xue-lian QI1, Shu-fen YIN1(), Yu-fang LIU1, Qi-mei BO1, Ji-hong GUO1, Hong-lian GAO1   

  1. 1. Department of Gynecology, Binzhou Medical University Hospital, Binzhou 256603, Shandong Province, China
  • Received:2012-05-15 Revised:2012-07-10 Published:2012-08-01
  • Corresponding author: Shu-fen YIN
  • About author:
    (Corresponding author: YIN Shu-fen, Email: )
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齐雪莲, 尹淑芬, 刘玉芳, 薄其美, 郭吉红, 高洪莲. 综合护理干预对子宫切除术后患者排尿功能的影响[J]. 中华妇幼临床医学杂志(电子版), 2012, 08(04): 482-484.

Xue-lian QI, Shu-fen YIN, Yu-fang LIU, Qi-mei BO, Ji-hong GUO, Hong-lian GAO. Influence of Comprehensive Nursing Intervention on Patients With Urinary Bladder Function After Hysterectomy[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2012, 08(04): 482-484.

目的

观察综合护理干预对子宫切除术后患者排尿功能的影响。

方法

选择2007年7月至2008年12月于本院行子宫切除术的70例患者为研究对象，根据护理干预方法随机分为研究组(n＝35，综合护理干预)和对照组(n＝35，常规护理干预)。测量患者护理干预后残余尿量，比较两组患者尿潴留及尿路刺激征发生率(本研究遵循的程序符合本院人体试验委员会所制定的伦理学标准，得到该委员会批准，分组征得受试对象本人的知情同意，并与之签署临床研究知情同意书)。

结果

两组患者尿潴留发生率比较，差异有统计学意义(P<0.05)。两组患者尿路刺激征发生率比较，差异也有统计学意义(P<0.05)。

结论

子宫切除术后采用综合护理干预，可降低术后膀胱功能障碍发生率，有效促进患者术后自主排尿功能的恢复，改善患者排尿功能，提高护理质量。

关键词: 子宫切除术, 护理干预, 膀胱功能障碍, 排尿功能
Objective

To observe the influence of comprehensive nursing intervention on patients with urinary bladder function after hysterectomy.

Methods

From July 2007 to December 2008, 70 women who accepted hysterectomy were included in the study, and randomly divided into study group(n=35, comprehensive nursing intervention) and control group(n=35, routine nursing intervention). Residual urine volume was measured, incidence rate of urinary retention and urinary tract symptoms were compared between two groups. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Binzhou Medical University Hospital.Informed consent was obtained from each patients.

Results

There had significant differences in incidence rate of urinary retention and urinary tract symptoms between two groups(P<0.05).

Conclusions

Comprehensive nursing intervention after hysterectomy can reduce the incidence rate of bladder dysfunction, promote the recovery of urinary bladder function, and improve quality of nursing intervention.

Key words: hysterectomy, nursing intervention, bladder dysfunction, urinary bladder function
表1 两组患者护理干预尿潴留发生率比较[n(%)]
Table 1 Comparison of incidence rate of urinary retention between two groups after nursing intervention[n(%)]
组别 n 残余尿量
<100 mL ≥100 mL
研究组 35 31(88.6) 4(11.4)
对照组 35 22(62.9) 13(37.1)
P ? <0.05
表2 两组患者尿路刺激征发生率比较[n(%)]
Table 2 Comparison of incidence rate of urinary irritation symptoms between two groups after nursing intervention [n(%)]
组别 n 尿路刺激征
研究组 35 4(11.4)
对照组 35 11(32.0)
P ? <0.05
[1]
Zhang WS, Shi ZZ, Wu XQ, et al.Urodynamic analysis on patients with urinary voiding dysfunction after hysterectomy[J]. Chin J Obstet Gynecol, 2005, 11:778-779.
[2]
Bai YQ, Tang GM, Sun CQ.The prevention of urine retention after hysterectomy and pelvic lymphadenectomy operation[J]. Int J Nurs, 2007, 26(1):85.
[3]
Tang CS, Li JJ.Surgical gynecologic tumor[M].Shenyang:Liaoning Education Press, 1999, 401-410,
[4]
Zhang QL.Comprehensive prevention of postoperative urinary retention in patients with cervix cancer[J].Nanfang J Nurs, 2004, 11(11):34-35.
[5]
Chen DX, Yang S, Xu BQ. Urinary complications of radical hysterectomy for cervical carcinomas[J]. Chin J Oncol, 1989, 11(2):67-69.
[6]
Su YK, Wang JF, Wu BZ, et al.Study on the complications of gynecological operation[J]. Chin J Obstet Gynecol, 1987, 22(3):129-133.
[7]
Ji M, Shan JZ, Wu HM, et al.Clinical observation of prevention and treatment of uroschesia after extensive uterectomy in cervical cancer[J]. Chin J Misdiag, 2007, 20(7):145-148.
[8]
Su XH, Huang XQ, Liang RX. Causes and nursing advances of urinary retention in posthysterectomy cervical cancer patients[J]. Hannan Med, 2009, 20(7):145-148.
[9]
Gao HL, Wu JM.Nursing care in patients with complications of posthysterectomy cervical cancer[J]. J North China Coal Med Univ, 2009, 11(3):299.
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