摘要
目的 分析探析综合护理措施对无痛分娩产妇产后尿潴留的影响。方法 选取我院2015年3月-2017年9月期间收治的 60例无痛分娩产妇产后尿潴留患者作为研究对象,采用单双号法分为常规组(30例患者,给予常规护理)和研究组 (30例患者,给予综合护理)。观察比较两组患者护理依从性及排尿时间。结果 研究组患者总依从率为96.67%,常 规组患者依从率为80.00%,研究组明显高于常规组,差异有统计学意义(P<0.05);研究组排尿时间<4h的发生率 为66.67%,明显高于常规组排尿时间<4h的发生率(36.67%)(P<0.05),而6~8h的发生率为6.67%明显低于常规组 的30.00%(P<0.05)。结论 采用综合护理的方式明显降低无痛分娩产妇产后尿潴留发生概率,促进患者自行排尿, 利于产妇产后恢复,临床效果显著,值得临床应用与推广。
Objective To analyze the effect of comprehensive nursing measures on postpartum urinary retention in painless parturients. Methods 60 cases of postpartum urinary retention of painless parturients admitted to our hospital from March 2015 to September 2017 were selected as the research objects. They were divided into routine group (30 cases, given routine nursing) and research group (30 cases, given comprehensive nursing). Observation and comparison of two groups of patients with nursing compliance and urination time. Results The total compliance rate was 96.67% in the study group and 80.00% in the routine group, which was significantly higher than that in the routine group (P<0.05). The incidence of urination time less than 4 hours in the study group was 66.67%, which was significantly higher than that in the routine group (36.67%) (P<0.05), while the incidence of 6-8 hours was significantly lower than that in the routine group (30.00%) (P<0.05). 0.05). Conclusion Comprehensive nursing can significantly reduce the incidence of postpartum urinary retention in painless parturients, promote patients'self-urination, and facilitate the recovery of postpartum women. The clinical effect is remarkable, which is worthy of clinical application and promotion.
【关键词】综合护理;无痛分娩;尿潴留
【中图分类号】R714.3
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2019.03.029
前言
社会经济的飞速发展,人们生活水平提高同时医 疗技术快速的发展应运而生了无痛分娩技术,即产妇 第一产程(宫口开至3cm)时通过腰椎间隙刺道硬膜外 腔推入小剂量、低浓度的局部麻醉药,从而达到缓解 患者的镇痛效果的硬膜外麻醉镇痛方法[2-3],此方法 受到了广大产妇的青睐[1]。但麻醉药物会对产妇的阴 部肌肉组织与盆底神经肌肉组织造成一定抑制,从 而使膀胱收缩力降低,最终导致患者发生产后尿潴留 (膀胱充盈时间>6h而无法完全正常的排除尿液)[4]。 为了进一步研究综合护理对于无痛分娩产妇尿潴留的 影响,特许安排我院60例患者进行研究的具体报道如 下。
罕少疾病杂志
第26卷, 第 3 期
2019年05月
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