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目的探讨综合护理干预措施对无痛分娩后尿潴留的影响。方法选择2016年1月-2017年1月于深圳市罗湖区妇幼保健院行无痛分娩的产妇220例为研究对象,以随机数字表法将其分为对照组与研究组,各110例。对照组患者在围产期中接受常规护理,研究组在此基础上加入综合护理措施来预防尿潴留。观察两组产后排尿时间、尿潴留及导尿的发生率。结果研究组排尿时间在<4 h的发生率为42.73%,高于对照组的22.73%,差异有统计学意义(P<0.05);排尿时间在6~8 h的发生率为9.09%,低于对照组的29.09%,差异有统计学意义(P<0.05);两组排尿时间在4~5 h的发生率比较,差异无统计学意义(P>0.05)。研究组尿潴留与导尿的发生率为2.73%、1.82%,均低于对照组11.82%、8.18%,差异有统计学意义(P<0.05)。结论综合护理干预措施能够有效预防无痛分娩产妇的尿潴留情况。
Objective To investigate the effect of comprehensive nursing intervention on urinary retention after painless childbirth. Methods From January 2016 to January 2017, 220 maternal women with painless childbirth in Luohu District Maternal and Child Health Hospital of Shenzhen were enrolled in this study. They were divided into control group and study group with 110 cases in random number table. Patients in the control group received routine nursing during the perinatal period. On the basis of this, the study group added comprehensive nursing measures to prevent urinary retention. Postpartum urination time, urinary retention and catheterization were observed. Results The urination time of the study group was 42.73% at <4 h, which was significantly higher than that of the control group (22.73%) (P <0.05). The urination time was 9.09% at 6-8 h The difference was statistically significant (P <0.05). There was no significant difference between the two groups in urination time of 4 ~ 5 h (P> 0.05). The incidence of urinary retention and catheterization was 2.73% and 1.82% in the study group, which were all lower than those in the control group (11.82% and 8.18%, P <0.05). Conclusion Comprehensive nursing interventions can effectively prevent urinary retention in painless childbirth.