老年患者术后尿潴留原因分析及护理干预效果

李娟，杨平*

（陕西省渭南市中心医院，陕西 渭南，714000）

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摘要：

目的 观察老年患者外科手术后发生尿潴留的原因及护理干预的效果。方法 将我院280 例患者随机分为2 组，各140 例。 对照组用常规护理，观察组用个性化护理。比较两组术后尿潴留发生率、改善效果及发生原因。结果 干预后，观察组术后尿潴留 发生率显著低于对照组（P<0.05）；观察组首次排尿时间评分、排尿量评分均显著低于对照组（P<0.05）。对照组中，留置导尿管护 理不当原因占比显著高于其他原因。结论 个性化护理干预可显著减少术后尿潴留发生率。

关键词：老年；尿潴留；护理干预

中图分类号：R473.6文献标志码：A文章编号：2096-1413(2018)01-0151-02

Reason analysis and nursing intervention effect of postoperative urinary retention in elderly patients
LI Juan, YANG Ping*
(Weinan Central Hospital, Weinan 714000, China)

ABSTRACT: Objective To observe the causes of urinary retention in elderly patients and the effect of nursing intervention. Methods A total of 280 patients in our hospital were randomly divided into two groups, with 140 cases in each group. The control group was treated with routine nursing, the observation group was treated with personalized care. The incidence, improvement effect and causes of postoperative urinary retention between the two groups were compared. Results After intervention, the incidence of postoperative urinary retention in the observation group was significantly lower than that in the control group (P<0.05); the first urination time score and urine volume score in the observation group were significantly lower than those in the control group (P<0.05). In the control group, the proportion of improper indwelling catheter care was significantly higher than other reasons. Conclusion Personalized care intervention can significantly reduce the incidence of postoperative urinary retention, which is worthy of clinical application.
KEYWORDS: elderly; urinary retention; nursing intervention

参考文献：
[1] 李玉洁,陈佩仪,梁秋金,等.夹管训练对预防术后留置尿管患者拔管后尿潴留效果的系统评价[J].护士进修杂志,2016,31(9):775-779.
[2] 石慧,赵晓琳,董艳丽,等.男性患者留置双腔气囊导尿管期间应用一次性输液器行膀胱冲洗出现尿潴留的护理[J].国际护理学杂 志,2014,33(2):472-473.
[3] 俞小红.护理干预对预防骨科术后镇痛泵所致尿潴留的效果评价 [J].中国实用护理杂志,2012,28(18):44-45.
[4] 于水,赵晓甦,宋龄,等.护理干预对冠状动脉介入术后患者尿潴留 的影响[J].中国循环杂志,2014,29(s1):223.
[5] 李杰.阴道分娩产后尿潴留40 例护理[J].江苏医药,2016,42(19):2188.
[6] 杨文艳.肛肠术后尿潴留原因及中西医护理[J].西部中医药,2016,29(7):140-143.
[7] 刘会英,刘云东,安艳秋,等.加强护理干预措施对脑梗死后尿潴留恢复的疗效观察[J].中国实用护理杂志,2015,31(s1):11-12.
[8] 熊爱莲.术后尿潴留发生原因及健康教育对策[J].当代医学,2010,16(15):117-118.
[9] 蔡燕珍.排尿护理中应用传统护理与优质护理的对比分析与体会[J].中国初级卫生保健,2016,30(3):80-82.