摘要
目的论预见性护理应用在产妇中对其分娩后尿潴留发生率的影响。方法随机将来我院进行分娩的160例产妇(于2018年4月至2021年4月入院)分为观察组和对照组,平均80例。将实施预见性护理的设为观察组,实施常规护理的设为对照组,比较护理效果。结果观察组(4例,占5.00%)尿潴留发生率明显比对照组(15例,占18.75%)低,差异有统计学意义(P<0.05);对导致产后尿潴留发病进行单因素分析,结果显示:两组在年龄、是否分娩镇痛、是否产钳助产、产程时间、是否应用缩宫素、是否宫腔封闭、是否存在会阴部侧切方面进行比较,差异有统计学意义(P<0.05);logistic多因素回归分析显示:是否分娩镇痛、是否产钳助产、产程时间、是否应用缩宫素、是否宫腔封闭是产妇分娩之后出现尿潴留的独立危险因素(P<0.05)。护理后,观察组的阴道收缩肌电值、阴道收缩持续时间、阴道静吸电值盆底功能评分明显高于对照组,差异有统计学意义(P<0.05);观察组(78例,占97.50%)的护理满意度明显比对照组(69例,占86.25%)更高,差异有统计学意义(P<0.05)。结论临床导致产妇分娩之后出现尿潴留的因素来自于多个方面,利用预见性护理对产妇进行干预,可有效的降低分娩之后尿潴留的发生概率,实现改善产妇盆底功能的作用,能从整体上提高产妇的满意度,值得推荐。
Objective To discuss the influence of predictive nursing application on the incidence of postpartum urinary retention in parturients.Methods One hundred and sixty parturients(from April 2018 to April 2021)who will give birth in our hospital were randomly divided into observation group and control group,with an average of 80 cases.The observation group was used to perform predictive care,and the control group was used to perform normal care,and the effects were compared.Results The incidence of urinary retention in the observation group(4 cases,accounting for 5.00%)was significantly lower than that of the control group(15 cases,accounting for 18.75%),and the difference was statistically significant(P<0.05).A univariate analysis of the onset of postpartum urinary retention was carried out.The results showed that the two groups were in terms of age,labor analgesia,forceps assisted delivery,time of labor,whether to use oxytocin,whether to seal the uterine cavity,and whether there was a lateral resection of the perineum.For comparison,the difference is statistically significant(P<0.05).Logistic multivariate regression analysis of all factors is performed to determine whether labor analgesia,whether or not to assist in delivery before forceps,the time of labor,whether to use oxytocin,and whether to seal the uterine cavity are independent risk factors for urinary retention after delivery,and the difference is statistically significant(P<0.05).After nursing,the vaginal contraction myoelectric value,vaginal contraction duration,vaginal static electricity absorption value and pelvic floor function score of the group were significantly higher than those of the control group,the difference was statistically significant(P<0.05).The nursing satisfaction rate of the observation group(78 cases,accounting for 97.50%)was significantly higher than that of the control group(69 cases,accounting for 86.25%),and the difference was statistically significant(P<0.05).Conclusion The clinical factors that lead to urinary retention after delivery come from many aspects.Using predictive care to intervene in the puerpera can effectively reduce the probability of urinary retention after delivery and achieve the effect of improving the pelvic floor function of the puerpera.It is recommended to improve maternal satisfaction.
作者
张岩
ZHANG Yan(Dalian Maternal and Child Health Hospital,Dalian 116001,China)
出处
《中国医药指南》
2022年第2期15-18,共4页
Guide of China Medicine
关键词
预见性护理
尿潴留
盆底功能
常规护理
阴道收缩肌电值
Predictive nursing
Urinary retention
Pelvic floor function
Ordinary nursing
Vaginal contraction myoelectric value
