山西医药杂志
山西醫藥雜誌
산서의약잡지
SHANXI MEDICAL JOURNAL
2015年
4期
371-373
,共3页
护理干预%留置导尿管%尿路刺激征%泌尿外科手术
護理榦預%留置導尿管%尿路刺激徵%泌尿外科手術
호리간예%류치도뇨관%뇨로자격정%비뇨외과수술
Nursing intervention%Catheter Indwelling%Urinary irritation syndrome%Urologic surgi-cal procedures
目的：研究护理干预对泌尿外科手术患者留置导尿管引起尿路刺激征的影响。方法选取2014年1月至10月我院收治的40例泌尿外科手术患者为研究对象，根据护理方式的不同分为2组，对照组患者给予常规留置导尿管护理，试验组患者给予系统的心理认知行为疗法和常规的留置导尿管护理，比较2组患者的护理效果。结果试验组患者的护理效果明显高于对照组患者（ P ＜0．05）；试验组患者术后留置导尿管时间、住院时间、尿路刺激征、非计划外拔除尿管、拔管后重新插管的发生率以及护理满意度明显优于对照组患者（P＜0．05）。结论通过给予患者系统的心理认知行为疗法可以有效降低手术患者尿路并发症的发生情况，减轻患者的痛苦，提高患者留置导尿管的舒适度，同时也提高了护理满意度，值得在临床实践中广泛应用和推广。
目的：研究護理榦預對泌尿外科手術患者留置導尿管引起尿路刺激徵的影響。方法選取2014年1月至10月我院收治的40例泌尿外科手術患者為研究對象，根據護理方式的不同分為2組，對照組患者給予常規留置導尿管護理，試驗組患者給予繫統的心理認知行為療法和常規的留置導尿管護理，比較2組患者的護理效果。結果試驗組患者的護理效果明顯高于對照組患者（ P ＜0．05）；試驗組患者術後留置導尿管時間、住院時間、尿路刺激徵、非計劃外拔除尿管、拔管後重新插管的髮生率以及護理滿意度明顯優于對照組患者（P＜0．05）。結論通過給予患者繫統的心理認知行為療法可以有效降低手術患者尿路併髮癥的髮生情況，減輕患者的痛苦，提高患者留置導尿管的舒適度，同時也提高瞭護理滿意度，值得在臨床實踐中廣汎應用和推廣。
목적：연구호리간예대비뇨외과수술환자류치도뇨관인기뇨로자격정적영향。방법선취2014년1월지10월아원수치적40례비뇨외과수술환자위연구대상，근거호리방식적불동분위2조，대조조환자급여상규류치도뇨관호리，시험조환자급여계통적심리인지행위요법화상규적류치도뇨관호리，비교2조환자적호리효과。결과시험조환자적호리효과명현고우대조조환자（ P ＜0．05）；시험조환자술후류치도뇨관시간、주원시간、뇨로자격정、비계화외발제뇨관、발관후중신삽관적발생솔이급호리만의도명현우우대조조환자（P＜0．05）。결론통과급여환자계통적심리인지행위요법가이유효강저수술환자뇨로병발증적발생정황，감경환자적통고，제고환자류치도뇨관적서괄도，동시야제고료호리만의도，치득재림상실천중엄범응용화추엄。
Objective To discuss effects of nursing intervention on urinary irritation of patients undergoing urological surgeries caused by urethral catheter indwelling .Methods Forty patients undergoing urological surger‐ies admitted by this Hospital during the period from January to October ,2014 were selected as research subjects , who were divided into two groups according to different methods of nursing .Patients in the control group were subject to routine urethral catheter nursing ,and patients in the experiment group were subjected to systematical psychological cognitive behavior therapy and routine nursing of urethral catheter indwelling .Nursing effects of pa‐tients in two groups were compared.Results The nursing efficacy of patients in the experiment group was obvi‐ously higher than that of patients in the control group ( P <0 .05) .The postoperative duration of urethral cathe‐ter ,hospital stay ,urinary irritation syndrome ,unscheduled removal urine tube ,incidence of re‐ntubation after ex‐tubation of patients in the experiment group were better than those of patients in the control group ( P <0 .05) , and the differences were statistically significant .Conclusion The application of systematic psychological cognitive behavior therapy on patients can effectively reduce the incurrence of urinary tract complications of surgical pa‐tients ,relieve the sufferings of patients ,improve the comfort of catheter indwelling for patients ,and boost the nursing satisfaction of patients .It is worth wide application and promotion in clinical practices.
