中医护理干预妇产科术后患者尿潴留临床研究
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R248.3

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Clinical Study on Chinese Medicine Nursing Intervention for Urinary Retention in Patients After Gynecological and Obstetric Surgery
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    摘要:

    目的:观察妇产科术后患者运用中医护理干预的疗效。方法:对妇产科实施手术治疗的病患开展研究,选取发生尿潴留的106 例患者进行分组研究,其中53 例采用常规干预措施的患者列为对照组,剩余联合中医护理干预的53 例患者列为试验组,比较2 组的干预效果。结果:对照组干预有效率为81.13%,试验组干预有效率为92.45%,试验组高于对照组,差异有统计学意义(P<0.05)。干预前,2 组生活质量测定量表(WHOQOL-100) 评分比较,差异无统计学意义(P>0.05)。干预后,2 组评分较前改善,试验组生活质量评分高于对照组,差异有统计学意义(P<0.05)。试验组排尿耗费时间、排尿后残存尿量均小于对照组,2 组比较,差异有统计学意义(P<0.05)。试验组、对照组总满意度分别是94.34%、84.91%,2 组比较,差异有统计学意义(P<0.05)。结论:对于妇产科手术后出现尿潴留的患者运用中医护理干预可以明显改善患者的临床症状,缩短患者自主排尿的时间,促进患者术后生活质量和满意度的提高。

    Abstract:

    Abstract: Objective: To observe the nursing effect of Chinese medicine nursing intervention on patients after gynecological and obstetric surgery. Methods: A study was conducted on patients who had surgical treatment in the Department of Obstetrics and Gynecology in our hospital; a total of 106 cases of patients who had urinary retention were selected and divided into two groups,53 cases in each group. The control group was treated with routine intervention,and the experiment group was given Chinese medicine nursing intervention based on the intervention of the control group. The intervention effect was compared between the two groups. Results:The total intervention effective rate was 81.13% in the control group, lower than that of 92.45% in the experiment group, the difference being significant(P<0.05). Before WHOQOLintervention, there was no significant difference being found in the comparison of scores of WHO Quality of life-100 (WHOQOL-100) assessment between the two groups(P>0.05). After intervention,the scores of WHOQOL-100 in the two groups were improved when compared with those before intervention,and the scores in the experiment group were higher than those in the control group, the difference being significant(P<0.05). The duration of urination, and the residual urine volume after urination in the experiment group were less than those in the control group,the difference being significant(P< 0.05). The overall satisfaction was 94.34% in the experiment group,and 84.91% in the control group,the difference being significant(P<0.05). Conclusion: For patients with urinary retention after gynecological and obstetric surgery, the intervention of Chinese medicine nursing can significantly improve their clinical symptoms, promote auto- urination, and increase postoperative life quality and satisfaction.

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楼燕萍.中医护理干预妇产科术后患者尿潴留临床研究[J].新中医,2021,53(8):160-163

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  • 在线发布日期: 2021-04-29
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