国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2014年
12期
3299-3302
,共4页
张霞%王莉莉%孟云%张花梅
張霞%王莉莉%孟雲%張花梅
장하%왕리리%맹운%장화매
联合重点护理%会阴侧切%尿潴留%切口感染
聯閤重點護理%會陰側切%尿潴留%切口感染
연합중점호리%회음측절%뇨저류%절구감염
Joint key nursing%Lateral episiotomy%Urinary retention%Incision infection
目的：探讨联合重点护理对顺产产妇侧切后尿潴留及感染率的影响。方法选取2011年1月～12月间在我院800例顺产产妇为研究对象，分析30例发生尿潴留及感染危险因素，选择2012年776例顺产产妇实施联合重点护理，比较护理前后会阴侧切产妇尿潴留及感染率。结果侧切术后尿潴留及感染与产妇体质指数、阴道检查次数、是否合并生殖道感染、胎膜早破、备皮至侧切时间、是否合并呼吸道感染等全身疾病、同一病房住院人数、产程时间及住院天数密切相关；联合重点护理干预后，产妇产后首次排尿时间、产后发生尿不尽感、尿潴留发生率均明显低于实施前（2.52±0.78 VS 2.84±1.12，0.77％ VS 2.00％，1.42％VS 3.00％）；切口红肿热痛、脓性分泌物、体温升高、切口感染率，明显低于实施前（0.77％ VS 3.25％，0.39％ VS 1.38％，0.90％VS 3.63％，1.16％VS 3.75％）。结论产妇侧切后尿潴留及感染影响因素很多，联合重点护理干预有助于降低尿潴留及感染发生率。
目的：探討聯閤重點護理對順產產婦側切後尿潴留及感染率的影響。方法選取2011年1月～12月間在我院800例順產產婦為研究對象，分析30例髮生尿潴留及感染危險因素，選擇2012年776例順產產婦實施聯閤重點護理，比較護理前後會陰側切產婦尿潴留及感染率。結果側切術後尿潴留及感染與產婦體質指數、陰道檢查次數、是否閤併生殖道感染、胎膜早破、備皮至側切時間、是否閤併呼吸道感染等全身疾病、同一病房住院人數、產程時間及住院天數密切相關；聯閤重點護理榦預後，產婦產後首次排尿時間、產後髮生尿不儘感、尿潴留髮生率均明顯低于實施前（2.52±0.78 VS 2.84±1.12，0.77％ VS 2.00％，1.42％VS 3.00％）；切口紅腫熱痛、膿性分泌物、體溫升高、切口感染率，明顯低于實施前（0.77％ VS 3.25％，0.39％ VS 1.38％，0.90％VS 3.63％，1.16％VS 3.75％）。結論產婦側切後尿潴留及感染影響因素很多，聯閤重點護理榦預有助于降低尿潴留及感染髮生率。
목적：탐토연합중점호리대순산산부측절후뇨저류급감염솔적영향。방법선취2011년1월～12월간재아원800례순산산부위연구대상，분석30례발생뇨저류급감염위험인소，선택2012년776례순산산부실시연합중점호리，비교호리전후회음측절산부뇨저류급감염솔。결과측절술후뇨저류급감염여산부체질지수、음도검사차수、시부합병생식도감염、태막조파、비피지측절시간、시부합병호흡도감염등전신질병、동일병방주원인수、산정시간급주원천수밀절상관；연합중점호리간예후，산부산후수차배뇨시간、산후발생뇨불진감、뇨저류발생솔균명현저우실시전（2.52±0.78 VS 2.84±1.12，0.77％ VS 2.00％，1.42％VS 3.00％）；절구홍종열통、농성분비물、체온승고、절구감염솔，명현저우실시전（0.77％ VS 3.25％，0.39％ VS 1.38％，0.90％VS 3.63％，1.16％VS 3.75％）。결론산부측절후뇨저류급감염영향인소흔다，연합중점호리간예유조우강저뇨저류급감염발생솔。
Objective To study effect of joint key nursing on urinary retention and infection after lateral episiotomy in natural birth maternal.Methods From January 2011 to December 2011, 800 natural birth puerperae were selected as the research object, 30 cases uri-nary retention and risk factors infection were analyzed, 776 cases hospitalized natural birth puerperae in 2012 were given joint key nursing, urinary retention and infection rates were compared before and after implementing joint key nursing.Results Urinary retention and infection were closely related with maternal body mass index, vaginal examination times, whether combination of reproductive tract infection, prema-ture rupture of membranes, lateral episiotomy time, whether merger systemic diseases such as respiratory tract infection, the number wards in the hospital, hospitalization days.After implementing joint key nursing intervention, first urination, the occurrence rate of urinary retention were significantly lower than those before the implementation (2.52 ±0.78 VS 2.84 ±1.12, 0.77%VS 2.00%, 1.42%VS 3.00%);In-cision inflamed hot pain, purulent secretion, increased body temperature, incision infection were significantly lower than before the imple-mentation (0.77%VS 3.25%, 0.39%VS 1.38%, 0.90%VS 3.63%, 1.16%VS 3.75%) .Conclusions After lateral episiotomy ma-ternal urinary retention and infection have many factors, joint key nursing intervention can help to reduce the incidence of urinary retention and infection.
