首页|细节护理对产后尿潴留患者尿动力学指标及排尿情况的影响

细节护理对产后尿潴留患者尿动力学指标及排尿情况的影响

扫码查看
目的 分析产后尿潴留患者在行盆底肌治疗仪治疗期间辅以细节护理的临床价值,并评估其对患者尿动力学指标及排尿情况的影响。方法 回顾性分析2021年1月至2023年1月山东大学齐鲁医院收治的97例产后尿潴留患者的基线资料,2组患者均接受盆底肌治疗仪治疗,并按照护理措施的不同将其划分为对照组(49例)和观察组(48例)。对照组应用常规护理,观察组应用细节护理。对比组间的尿动力学指标、排尿情况以及膀胱功能。结果 护理2周及4周后,2组的残余尿量均较护理前减少,平均尿流率均较护理前提升(P均<0。05);观察组的残余尿量低于同一时间对照组,平均尿流率高于同一时间对照组(P均<0。05)。护理2周及4周后,2组的膀胱功能各项指标(最大膀胱容量、最大尿流率和膀胱初感容积)均有所改善(P均<0。05),且观察组的恢复效果均优于同一时间对照组(P均<0。05)。观察组的首次排尿时间和自主排尿恢复时间相较于对照组更早,首次排尿量相较于对照组更多,在干预第3天的残余尿量相较于对照组更少(P均<0。05)。结论 产后尿潴留患者行盆底肌治疗仪治疗时应用细节护理,对于减轻尿潴留、促进排尿、改善膀胱功能和尿动力学指标具有关键性作用。
Effect of detail nursing on urodynamic parameters and urination of patients with postpartum urinary retention
Objective To analyze the clinical value of detail nursing during the treatment of pelvic floor muscle therapeutic apparatus for patients with postpartum urinary retention,and to evaluate its effect on urodynamic parameters and urination of patients.Methods The baseline data of 97 patients with postpartum urinary retention admitted to Qilu Hospital of Shandong University from January 2021 to January 2023 were retrospectively analyzed.Both groups of patients used pelvic floor muscle therapeutic apparatus,and they were assigned into a control group(49 cases)and an observation group(48 cases)according to different nursing measures.The control group received routine nursing,while the observation group received detail nursing.The urodynamic parameters,urination status,and bladder function were compared between the two groups.Results After 2 and 4 weeks of nursing,the residual urine volume in both groups decreased compared with that before nursing,and the average urine flow rate increased compared with that before nursing(all P<0.05).The residual urine volume of the observation group was less than that of the control group,and the average urine flow rate was higher than that of the control group(all P<0.05).After 2 and 4 weeks of nursing,all parameters of bladder function(maximum bladder capacity,maximum urine flow rate,and initial bladder volume)in both groups improved(all P<0.05),and the recovery effect of the observation group was better than that of the control group(all P<0.05).The first urination time and recovery time of spontaneous urination in the observation group were earlier than those in the control group.The first urinary volume was greater than that in the control group.The residual urine volume on the 3rd day of intervention was less than that in the control group(all P<0.05).Conclusion The application of detail nursing plays a key role in relieving urinary retention,promoting urination,and improving bladder function and urodynamic parameters during the treatment of pelvic floor muscle therapeutic apparatus for postpartum urinary retention patients.

postpartum urinary retentionpelvic floor muscle therapeutic apparatusdetail nursingurodynamic parameterbladder function

刘佳佳、林本苗、冯珊、孙萌萌、李珊珊

展开 >

山东大学齐鲁医院,山东济南,250000

青岛大学附属医院,山东青岛,266000

产后尿潴留 盆底肌治疗仪 细节护理 尿动力学指标 膀胱功能

2024

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN:2096-0867
年,卷(期):2024.10(8)