护理干预对宫颈癌根治术后尿潴留的影响

论文编号:HL124  论文字数:8163.页数:20

论文题目：护理干预对宫颈癌根治术后尿潴留的影响
摘　要
 目的：本研究采用病例对照探讨护理干预对宫颈癌根治术后尿潴留的影响，通过加强宫颈癌患者术前、术后综合护理，达到有效预防和减少宫颈癌患者术后尿潴留的发生。
 方法：研究对象来源于2010年9月到2011年7月期间在我院行广泛子宫切除加盆腔淋巴结清扫术的患者。将入选的60位患者按入院先后随机分为两组，实验组30人，对照组30人。实验组患者术前给予心理疏导、盆底肌肉的锻炼，术后采用个体化放尿、膀胱冲洗的护理干预措施。对照组患者术后按长期留置尿管护理。
 结果：两组研究人群在年龄上的差别无统计学意义，实验组的残余尿量明显低于对照组，差别有统计学意义，实验组尿潴留发生率为10%；对照组尿潴留发生率为36%，实验组尿潴留发生率明显低于对照组，差异有统计学意义（P<0.05）。
 结论：加强宫颈癌患者术前、术后综合护理，能有效预防和减少宫颈癌患者术后尿潴留的发生，促进宫颈癌术后膀胱功能的恢复。
关键词: 宫颈癌  宫颈癌根治术   尿潴留   护理干预
研究类型：类实验研究
Title: Nursing intervention on the impact of cervical cancer after radical resection of urinary retention
ABSTRACT
Objective  This case-control study of nursing intervention on the impact of cervical cancer radical surgery urinary retention, by strengthening cervical cancer patients before and after integrated care, to effectively prevent and reduce the incidence of cervical cancer patients with postoperative urinary retention,

Methods  Object of study from September 2010 to July 2011 in our hospital during the hysterectomy and pelvic lymph node dissection patients. 60 patients will be selected randomly divided into two groups according to admission have the experimental group 30, control group 30. Experimental group were given psychological counseling before surgery, pelvic floor muscle training, after the use of individual release of urine [1], bladder irrigation in nursing interventions. Control group patients by long-term indwelling catheter care.

Results  Two study groups in age, the difference was not statistically significant, the experimental group, residual urine volume was significantly lower than the control group, the difference was statistically significant, the experimental group was 10% incidence of urinary retention; control group incidence of urinary retention rate was 36 %, the incidence of urinary retention in the experimental group was significantly lower than the control group.

Conclusion  Strengthening cervical cancer patients before surgery, comprehensive care, can effectively prevent and reduce the incidence of postoperative urinary retention in patients with cervical cancer, cervical cancer after surgery to promote recovery of bladder function.

Key words: Cervical cancer,Radical surgery of cervical cancer,Urinary retention,Nursing intervention
Study type：quasi-experimental study

目  录
1 前言.........................................................1
1.1背景和意义..................................................1
1.2目的及目标..................................................1
1.3关键词及定义................................................1
1.3.1宫颈癌....................................................1
1.3.2宫颈癌根治术..............................................2
1.3.3尿潴留....................................................2
1.3.4护理干预..................................................2
1.4 文献回顾......................................................2
1.4.1宫颈癌根治术后尿潴留的发生率.................................2
1.4.2宫颈癌根治术后尿潴留发生原因.................................2
1.4.3护理干预对宫颈癌根治术后尿潴留的影响.........................3
2 研究方法.......................................................7
2.1 研究设计.....................................................7
2.2研究对象.....................................................7
2.3.研究方法. ...................................................7
2.4 资料分析................................................... .........8
3. 结果........................................................9
3.1一般资料的比较.............................................9
3.2两组残余尿量的比较.........................................9
3.3两组尿潴留发生率...........................................10
4. 讨论..........................................................12
5.推论及建议.................................................... .......14
致谢.......................................................15
参考文献............................................ 16