预见性护理对产妇发生尿潴留的改善效果

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摘要目的探讨预见性护理对产后尿潴留产妇排尿障碍的改善效果。方法回顾性分析2020年1月至2021年3月广东省茂名市妇幼保健院收治的60 例发生尿潴留产妇的临床资料，根据护理方式差异将其分为研究组（31 例）与对照组（29 例）。研究组产妇接受预见性护理，对照组产妇接受常规护理。比较两组产妇干预前后的汉密顿焦虑量表（HAMA）、匹兹堡睡眠质量指数（PSQI）、汉密顿抑郁量表（HAMD）、腹部疼痛视觉模拟评分法（VAS）评分、首次排尿时间、排尿量、住院时间及护理满意度。结果干预前，两组产妇的HAMD、HAMA、PSQI、VAS 评分比较，差异无统计学意义（P＞0.05）；干预后，研究组产妇的HAMD、HAMA、PSQI、VAS 评分低于对照组，差异有统计学意义（P＜0.05）。研究组产妇的首次排尿时间、住院时间短于对照组，排尿量多于对照组，差异有统计学意义（P＜0.05）。研究组产妇的护理总满意率为93.55%（29/31），高于对照组的72.41%（21/29），差异有统计学意义（P＜0.05）。结论对产后尿潴留产妇实施预见性护理可有效减轻产妇腹部疼痛感及负面情绪，缩短产妇排尿时间及住院时间，提高产妇的满意度，对提高医院医疗服务质量具有积极作用，值得临床推广应用。

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	何晓清

关键词 ：产后尿潴留, 预见性护理, 护理质量, 膀胱功能

Abstract：Objective To explore the improvement effect of predictive nursing on urinary dysfunction of parturients with urinary retention.Methods The clinical data of 60 parturients with urinary retention who were admitted to Maternity and Child Health Hospital of Maoming City,Guangdong Province from January 2020 to March 2021 were analyzed retrospectively.They were divided into the study group(31 cases)and the control group(29 cases)according to the difference of nursing style.The study group received predictive nursing,while the control group received routine nursing.The Hamilton anxiety scale (HAMA),Pittsburgh sleep quality index (PSQI),Hamilton depression scale (HAMD),abdominal visual analogue scale (VAS) scores before and after intervention,the first urination time,urination volume,hospital stay and nursing satisfaction were compared between the two groups.Results There were no statistically significant differences in HAMD,HAMA,PSQI and VAS scores between the two groups before the intervention (P＞0.05).After the intervention,the HAMD,HAMA,PSQI and VAS scores of the study group were lower than those of the control group,and the differences were statistically significant (P＜0.05).The first urination time and hospital stay of the study group were shorter than those of the control group,and the volume of urination of the study group was more than that of the control group,and the differences were statistically significant(P＜0.05).The total satisfaction of the study group was 93.55%(29/31),which was higher than 72.41% (21/29) of the control group,and the difference was statistically significant (P＜0.05).Conclusion Predictive nursing for patients with postpartum urinary retention can effectively reduce abdominal pain and negative emotions,shorten the time of urination and hospitalization,and improve patient satisfaction.It has a positive effect on improving the quality of hospital medical services and is worthy of clinical application.

Key words： Postpartum urinary retention Predictive nursing Quality of care Bladder function

基金资助:广东省茂名市科技计划项目（技术开发类）（2020008）

引用本文:

何晓清. 预见性护理对产妇发生尿潴留的改善效果[J]. 中国当代医药, 2022, 29(3): 172-175转179.
HE Xiaoqing. Analysis of the improving effect of predictive nursing on urinary retention of parturient. 中国当代医药, 2022, 29(3): 172-175转179.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2022/V29/I3/172

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