Objective To investigate the effect of the comprehensive nursing intervention (CNI) on the prevention of the urinary retentions in the stroke patients undergoing withdrawing urinary catheters. Methods 180 patients from 2008 March to 2010 March were evenly divided into the intervention group and the control group at random according to the sequence ,of registration time. The patients in the control group received routine treatment and nursing, and those in the intervention group received psychological intervention, abdominal massage, tightening-up training of anus levator and abdomen, bladder washing, glycerine enema, urinate induction. The two groups were compared about the incidences of urinary retentions. Result The incidence of urinary retentions in the intervention group was significantly lower than that of the control group (P < 0.05). Conclusion CNI can prevent the urinary retentions from withdrawing urinary catheters in the stroke patients effectively.%目的 探讨综合护理干预对脑卒中患者拔除尿管后预防尿潴留的效果.方法 2008年3月～2010年3月按患者入院先后顺序将180例脑卒中患者分为对照组和干预组,每组各90例.对照组患者给予常规治疗和护理方法,干预组患者在对照组基础上同时给予心理干预、腹部按摩、提肛收腹训练、膀胱冲洗、开塞露灌肠诱导排尿等综合护理干预.比较两组患者拔除尿管后尿潴留发生率.结果 两组患者拔除尿管后尿潴留发生率比较,P＜0.05,差异具有统计学意义,干预组患者尿潴留发生率明显低于对照组.结论 综合护理干预能有效预防脑卒中患者拔除尿管后尿潴留的发生.
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