中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2009年
5期
15-18
,共4页
洪蕊%何连芝%方玟%吴晓%钱学惠%王清华
洪蕊%何連芝%方玟%吳曉%錢學惠%王清華
홍예%하련지%방민%오효%전학혜%왕청화
护理干预%子宫广泛切除%膀胱功能障碍%留置尿管时间
護理榦預%子宮廣汎切除%膀胱功能障礙%留置尿管時間
호리간예%자궁엄범절제%방광공능장애%류치뇨관시간
Nursing intervention%Total hysterectomy%Urinary bladder dysfunction%Time of inurethral catheter
目的 通过对宫颈癌患者进行早期系统护理干预,促进膀胱功能的恢复,从而提前拔除留置的尿管,减少膀胱功能障碍的发生.方法 将80例宫颈癌行子宫广泛切除术患者随机分成治疗组和对照组各40例,治疗组采用系统护理干预(心理护理、盆底肌肉训练、排尿中断训练、腹肌训练、Valsalva屏气法及Crede手压法、定时开放结合个体化放尿、热滚动按摩疗法),对照组采用常规护理加上一些简单的膀胱功能训练.比较2组术后留置尿管的时间.结果 治疗组留置尿管的时间为(9.65±1.49)d.对照组的时间为(15.88±4.03)d,有显著差异,术后残余尿、尿潴留及泌尿系统感染发生均低于对照组.结论 早期系统的护理干预能有效缩短宫颈癌术后留置尿管的时间,减少膀胱功能障碍的发生,提高宫颈癌患者的手术效果及生活质量.
目的 通過對宮頸癌患者進行早期繫統護理榦預,促進膀胱功能的恢複,從而提前拔除留置的尿管,減少膀胱功能障礙的髮生.方法 將80例宮頸癌行子宮廣汎切除術患者隨機分成治療組和對照組各40例,治療組採用繫統護理榦預(心理護理、盆底肌肉訓練、排尿中斷訓練、腹肌訓練、Valsalva屏氣法及Crede手壓法、定時開放結閤箇體化放尿、熱滾動按摩療法),對照組採用常規護理加上一些簡單的膀胱功能訓練.比較2組術後留置尿管的時間.結果 治療組留置尿管的時間為(9.65±1.49)d.對照組的時間為(15.88±4.03)d,有顯著差異,術後殘餘尿、尿潴留及泌尿繫統感染髮生均低于對照組.結論 早期繫統的護理榦預能有效縮短宮頸癌術後留置尿管的時間,減少膀胱功能障礙的髮生,提高宮頸癌患者的手術效果及生活質量.
목적 통과대궁경암환자진행조기계통호리간예,촉진방광공능적회복,종이제전발제류치적뇨관,감소방광공능장애적발생.방법 장80례궁경암행자궁엄범절제술환자수궤분성치료조화대조조각40례,치료조채용계통호리간예(심리호리、분저기육훈련、배뇨중단훈련、복기훈련、Valsalva병기법급Crede수압법、정시개방결합개체화방뇨、열곤동안마요법),대조조채용상규호리가상일사간단적방광공능훈련.비교2조술후류치뇨관적시간.결과 치료조류치뇨관적시간위(9.65±1.49)d.대조조적시간위(15.88±4.03)d,유현저차이,술후잔여뇨、뇨저류급비뇨계통감염발생균저우대조조.결론 조기계통적호리간예능유효축단궁경암술후류치뇨관적시간,감소방광공능장애적발생,제고궁경암환자적수술효과급생활질량.
Objective Through early systemic nursing intervention of cervical cancer patients for promotion of the recovery of urinary bladder function, to remove the urethral catheter in advance,and reduce the occurrence of urinary bladder dysfunction. Methods 80 cervical cancer patients after total hysterectomy were divided into the treatment group and the control group with 40 cases in each group stochastically. The treatment group was given systemic nursing( psychological nursing,pelvis bottom muscles exercising,urination discontinuance exercising,abdominal muscle exercising,Valsalva maneuver exercising, Crede press exercising,open the urethral catheter timely and individually,cheiropractic with hot roller), the control group received conventional nursing and some simple training of urinary bladder function. The time of indwelling urethral catheter after the hysterectomy was compared. Results The time of indwelling urethral catheter in the treatment group and in the control group were (9.65±49)days and (15.88±03)days respectively. The incidence rate of residual urine,urine retention and infection of urinary system after surgery in the treatment group was lower than that of the control group. Conclusions Early systemic nursing intervention can shorten the time of indwelling urethral catheter after hysterectomy, reduce the occurrence of urinary bladder dysfunction .improve the surgery effect for the cervical cancer patients and ameliorate their quality of life.
