心理干预联合穴位艾条温灸预防产后尿潴留的效果观察

摘要

目的 研究分析心理干预联合穴位艾条温灸预防产后尿潴留的临床效果观察.方法 选取温州市中西医结合医院2015年5月~2017年6月收治的100例阴道分娩产妇为研究对象,随机分为2组各50例.对照组进行穴位艾条温灸治疗,预防产后尿潴留.实验组在此基础上给予心理干预,积极与患者进行沟通和交流,正确评估患者心理状态,消除患者负面情绪,给予针对性心理疏导.比较分析实验组与对照组患者的尿潴留发生情况与排尿指标.结果 治疗后,实验组患者未出现尿滞留,对照组中6例出现尿滞留.可得,对照组尿滞留发生率为12.0%显著高于实验组,差异具有统计学意义(P<0.05).对照组中,5例患者产后排尿时间小于3 h.实验组中,24例患者产后排尿时间小于3 h,20例排尿时间为3~4 h.可得,实验组产后排尿情况显著优于对照组,差异有统计学意义(P<0.05).结论 心理干预联合穴位艾条温灸预防产尿潴留的临床效果较为理想,帮助患者顺利排尿.%Objective To observe the clinical effect of psychological intervention combined with acupoint Moxa Moxibustion on prevention of postpartum urinary retention. Methods 100 cases of vaginal delivery women in our hospital from May 2015 to June 2017 were selected as the object of study and were randomly divided into 2 groups, 50 cases in each group. The control group was treated with acupoint Moxa Moxibustion therapy,to prevent postpartum urinary retention. The experimental group was given psychological intervention on this basis,and actively communicate with the patient,correctly assess the patient's psychological status,eliminate the negative emotions,and give the targeted psychological counseling. The occurrence of urinary retention and the index of urination in the experimental group and the control group were compared and analyzed. Results After treatment,there were no urinary retention occurred in the experimental group,and urine retention occurred in 6 cases in the control group. The urinary retention rate of the control group was 12%,which was significantly higher than that of the experimental group, and the difference was statistically significant(P<0.05).In the control group,5 patients delivered less than 3 hours after delivery.In the experimental group,24 patients had less than 3 hours of post partum urination,and 20 patients had 3 to 4 hours of urination time.Available,the experimental group of postpartum urination was significantly better than the control group, and the difference was statistically significant (P<0.05). Conclusion The clinical effect of psychological intervention combined with Moxa Moxibustion acupoint to prevent urinary retention is ideal,to help patients urinate smoothly.