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目的 探讨前瞻性护理对无痛分娩产妇尿潴留的影响.方法 选取2019年1月～2019年12月在本科无痛分娩顺产的产妇共300例,依据数字表法随机分为对照组和观察组,每组150例.对照组为常规护理组;观察组为前瞻性护理干预组,分析这两组产后首次排尿时间、无痛分娩后的产妇尿潴留情况、分娩时产妇的依从性及产妇对于无痛分娩的心理认可度.结果 观察组产后第一次排尿时间情况:产后2 h内为16.67％,产后2～4 h为70.00％,产后4～6 h为5.33％,产后大于6 h为8.00％,明显优于对照组,差异性具有统计学意义(P＜0.05).观察组留置尿管率为1.33％,尿潴留的发生率为3.33％,自主排尿率为95.33％优于对照组,差异性具有统计学意义(P＜0.05),观察组产妇对于无痛分娩的满意度高于对照组,观察组分娩时产妇的依从性高于对照组.结论 对于无痛分娩的产妇主动实施前瞻性护理,能有效改善产妇产后的排尿情况,预防尿潴留的发生,增加患者的满意度,利于产后恢复,促进健康,值得临床推广应用.“,”Objective Purpose To investigate the effect of prospective nursing on urinary retention of parturient in painless delivery. Methods A total of 300 parturient, who gave birth without pain in our department from January 2019 to December 2019. According to the number table method, they were randomly divided into control group and observation group, with 150 cases in each group. The control group was the conventional nursing group; the observation group: the prospective nursing intervention group then was used to analyze the urinary retention of the parturient after painless delivery in these two groups, compliance of parturient women during delivery and psychological recognition of parturient women for painless delivery. Results The time of the first urination in the observation group: 16.67％ within 2 h after delivery, 70.00％ at 2～4 h after delivery, 5.33％ at 4～6 h after delivery, 8.00％ at more than 6 h after delivery, significantly better than the control group. It is statistically significant (P＜0.05). In the observation group, the indwelling catheter rate was 1.33％, the incidence of urinary retention was 3.33％, and the spontaneous urination rate was 95.4％ better than that of the control group. The difference was statistically significant (P＜0.05), the satisfaction of painless delivery in the observation group was higher than that in the control group, the compliance of the observation group was higher than that of the control group. Conclusion Proactively implementing prospective care for parturient who give birth without pain can effectively improve the postpartum urination of the parturient, prevent the occurrence of urinary retention, increase the satisfaction of the patient, help postpartum recovery, and promote health. It is worthy of clinical application.