综合护理干预对宫颈癌根治术后患者尿潴留的影响

摘要

ObjectiveTo investigate and analyze influence by comprehensive nursing intervention on patients with uroschesis after radical operation of cervical cancer.MethodsThere were 29 patients receiving radical operation of cervical cancer as observation group and another 29 patients receiving same treatment at the same time period as control group. The control group received conventional perioperative nursing after radical operation of cervical cancer, and the observation group also received additional comprehensive nursing intervention measures. Comparison was made on first urination time after extubation, voluntary urination condition after extubation, residual urine volume after first urination, and incidence of re-catheterization between the two groups.ResultsThe observation group had shorter first urination time after extubation as (1.35±0.32) h than (1.92±0.45) h in the control group, and the difference had statistical significance (P<0.05). There were 20 voluntary urination cases, 7 assisted-voluntary urination cases and 2 incapable cases of voluntary urination, which were respectively 11, 12 and 6 cases in the control group. The observation group had better voluntary urination status after extubation than the control group, and the difference had statistical significance (P<0.05). The observation group had residual urine volume after first urination as (135.80±10.32) ml and incidence of re-catheterization as 6.9% (2/29), which were all lower than (282.60±15.41) ml and 27.6% (8/29) in the control group, and their difference had statistical significance (P<0.05).ConclusionTargeted comprehensive nursing intervention measures in perioperative period of radical operation of cervical cancer can not only shorten urination time, improve voluntary urination rate, but also reduce incidence of re-catheterization after operation. This method shows excellent effect, and it is worth clinical promotion.%目的：探讨分析综合护理干预对宫颈癌根治术后患者尿潴留的影响。方法29例行宫颈癌根治术的患者作为观察组,另选取同一时间内、由同一治疗组收治的29例行宫颈癌根治术的患者作为对照组。对照组患者给予宫颈癌根治术后的常规围手术期护理,观察组患者在此基础上给予综合性护理干预措施。比较两组患者从拔出导尿管开始的第1次排尿时间、拔出导尿管后自行排尿情况、首次排尿后尿残留量及再次留置导尿管率。结果观察组患者从拔出导尿管开始的第1次平均排尿时间为(1.35±0.32)h,短于对照组的(1.92±0.45)h,差异具有统计学意义(P<0.05)。观察组患者自行排尿20例、辅助自行排尿7例、不能自行排尿2例,对照组分别为11、12、6例,观察组患者拔出导尿管后自行排尿情况优于对照组,差异具有统计学意义(P<0.05),观察组患者首次排尿后尿残留量为(135.80±10.32)ml、再次留置导尿管率为6.9%(2/29),均低于对照组的(282.60±15.41)ml、27.6%(8/29),差异均具有统计学意义(P<0.05)。结论在宫颈癌根治术的围手术期做好有针对性的综合护理干预措施,不仅可以缩短患者的排尿时间,提高患者术后自行排尿率,还能减少术后的再次留置导尿管率,效果明显,值得在临床推广。