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护理干预对预防宫颈癌术后尿潴留的临床效果观察

作者:陈 霞

所属单位:河南省周口市太康县人民医院妇产科 (河南 周口 475400)

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摘要

目的 为了观察护理干预在预防宫颈癌术后尿潴留症状的临床效果。方法 选取我院2015年2月-2016年2月的136例 进行宫颈癌手术的患者作为研究对象,将这些患者随机平均分为两组,观察组和对照组,每组68例。观察组68例 患者实行护理干预措施,对照组68例患者实行常规护理措施,比较两组拔管之后尿残余量、尿潴留发生几率以及 护理满意度。结果 观察组的尿残余量为(71.05±5.58)ml,对照组的尿残余量为(130.12±12.57)ml,观察组明 显要低于对照组,具有统计学意义(P<0.05)。观察组的尿潴留发生率为5.88%(4/68),对照组的尿潴留发生率为 33.82%(23/68),观察组要明显低于对照组,具有统计学意义(P<0.05)。观察组的护理满意度为98.53%,对照组的 护理满意度为79.41%,两组差异明显,具备统计学意义(P<0.05)。结论 在对预防宫颈癌术后尿潴留中,为患者实 行护理干预,能够更好的降低尿潴留出现几率,提高护理满意度。临床上值得推广使用。

Objective To observe the clinic effect of nursing intervention on preventing postoperative uroschesis of cervical cancer. Methods 136 cases given cervical cancer surgery in our hospital from February 2015 to February 2016 were selected and divided into observation group and control group, 68 cases in each group. Observation group was given nursing intervention, control group was given routine nursing, residual urine volume after extubation, occurrence rate of uroschesis and nursing satisfaction degree of the two groups were compared. Results Residual urine volume of observation group (71.05±5.58)ml was significantly lower than control group (130.12±12.57) ml, the difference was statistic significant (P<0.05). Occurrence rate of uroschesis of observation group 5.88%(4/68) was significantly lower than control group 33.82%(23/68), the difference was statistic significant (P<0.05). Nursing satisfaction degree of observation group and control group were 98.53%, 79.41%, the difference was obvious and statistic significant (P<0.05). Conclusion Application of nursing intervention on preventing postoperative uroschesis of cervical cancer can lower occurrence rate of uroschesis, improve nursing satisfaction, and is worthy of clinic application.

【关键词】护理干预;宫颈癌术;尿潴留;临床效果;观察

【中图分类号】713.4;R473.71

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2018.03.017

前言

作为女性常见的一种恶性肿瘤,宫颈癌对女性健 康有非常严重的影响,作为临床上治疗宫颈癌的首选 方法宫颈癌根治术,临床上获得了比较理想的治疗效 果。可是因为手术范围比较广,手术之后会导致患者 出现不同程度的膀胱功能障碍,这是尿潴留常见的并 发症[1]。有关研究表明,如果出现了尿潴留,不但会 影响手术的治疗效果,同时还非常容易造成泌尿系统 感染等更多的并发症,更不利于患者早日康复[2]。为 了更好的做好术后护理工作,文中将研究我院2015年 2月~2016年2月的136例患者进行分组观察,下文报 道临床护理具体情况。