摘要
目的 探讨下肢骨折病人术后尿潴留的原因及护理对策。方法 对2013年1-12月下肢骨折病人术后发生尿潴留进行回 顾性分析。选择2013年1-12月因下肢骨折采用手术治疗的108例病人,随机分为两组,观察组54例,对照组54例。 对照组采用常规护理程序,观察组由责任护士采用综合护理干预方法。结果 本组病人观察组发生尿潴留2例,对照 组发生7例。观察组明显优于对照组,由此可见综合护理措施,能有效促进术后膀胱排尿功能的恢复,减少术后尿 潴留的发生。结论 综合护理干预能有效防治下肢骨折病人术后尿潴留。
Objective To analyze the causes and nursing countermeasures for postoperative urinary retention in patients with lower limb fracture. Methods From Jan. 2013 to Dec. 2013, a total of 108 patients with with lower limb fracture in our hospital were taken as the clinical research objects, and they were randomly divided into observation group (54 cases) and control group (54 cases). The control group was given traditional nursing, and the study group was given comprehensive nursing by primary nurses. Results There were 2 cases of urine retention in the observation group and 7 cases of urine retention in the control group, the nursing effect in the observation group was obviously better than that in the control group. This shows that the comprehensive nursing can effectively promote the postoperative recovery of bladder voiding function and reduce the occurrence postoperative urinary retention. Conclusion Comprehensive nursing intervention can effectively prevent postoperative urinary retention in patients with lower limb fracture.
【关键词】骨折病人;尿潴留;护理对策
【中图分类号】R274.12
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2017.05.023
前言
尿潴留是骨科下肢骨折病人术后常见的并发症之 一。尿潴留不仅可以导致尿路感染、膀胱麻痹、体内 代谢产物积聚,也影响病人情绪,从而增加病人痛 苦。而留置尿管会给病人带来生理、心理及经济上的 负担。因此预防和降低术后排尿困难、尿潴留及泌尿 系感染的发生是改善病人术后生活质量的关键。近年 来我科对138例下肢骨折术后病人采用综合护理干预 防治术后尿潴留,取得满意效果。现报告如下。
罕少疾病杂志
第24卷, 第 5 期
2019年11月
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