术前排便训练对介入术后排尿功能障碍发生率的影响

王颖，任春玲，周红艳，张艳峰，孙静岚

（西安交通大学第一附属医院，陕西 西安，710061）

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摘要：

目的 观察给予患者术前排便训练在介入术后排尿功能障碍发生中的作用。方法 将1 280例需行介入手术的患者随机分为观察组（668例）和对照组（612例）。对照组实施介入术前健康教育（发介入手术册子），观察组除术前健康教育外给予提高术前排便训练依从性措施（现场指导、介入手术交接单排尿训练项目使用）。比较两组的护理效果。结果 观察组排尿功能障碍的发生率为32.5%，明显低于对照组的62.6%（P<0.01）。观察组术后首次排尿时间在1h内的例数明显多于对照组（P<0.01）。结论 给予介入治疗患者术前排便训练能明显降低术后排尿功能障碍的发生率。

关键词：介入手术；排便训练；排尿功能障碍

中图分类号：R473.5文献标志码：A文章编号：2096-1413(2017)13-0147-02

Effect of preoperative defecation training on the incidence of postoperative micturition dysfunction
WANG Ying, REN Chun-ling, ZHOU Hong-yan, ZHANG Yan-feng, SUN Jing-lan
（the First Affiliated Hospital of Xi an Jiaotong University, Xi an 710061, China）

ABSTRACT: Objective To observe the effect of preoperative defecation training on the incidence of micturition after interventional therapy. Methods One thousand two hundred and eighty patients who underwent interventional surgery were randomly divided into control group (668 cases) and observation group (612 cases). The control group only received the interventional preoperative health education with the interventional operation booklet. The observation group was given measures improving the preoperative defecation training compliance (on-site guidance, single urination training programs using the interventional operation transfer sheet) in addition to the preoperative health education. The nursing effect of the two groups was compared. Results The incidence of urinary dysfunction in the observation group was 32.5%, which was significantly less than 62.6% in the control group (P<0.01). The number of the first urination time within 1 h in the observation group was significantly more than that in the control group (P<0.01). Conclusion The preoperative defecation training in patients with interventional therapy could significantly reduce the incidence of postoperative urinary dysfunction.

KEYWORDS: interventional operation; defecation training; urinary dysfunction

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