摘要
目的探讨综合护理干预对脑梗死后尿潴留患者恢复的效果。方法选取2016年5月至2017年5月在本院因脑梗死导致尿潴留的患者为研究对象，由计算机产生的随机数依据奇偶数分为对照组和实验组，对照组采用常规护理方法，实验组在对照组的基础上增加综合护理，观察相关疗效指标。采用焦虑自评量表（SAS）和生活质量核心量表（QLQ-C30）评价患者焦虑情绪和生活质量。结果实验组在排尿量明显高于对照组（P〈0．05），留置导尿管时间和尿路感染发生率低于对照组（P〈0．05）。实验组痊愈率为50％，总有效率为80．8％，高于对照组的22．2％和62．9％（P〈0．05）。实验组焦虑患者有7例，阳性率为26．9％，低于对照组的13例（48．1％）（P〈0．05）。实验组躯体功能、认知功能、角色功能、社会功能和情绪功能的评分均高于对照组（P〈0．05）。结论综合护理可以明显提高脑梗死后尿潴留患者恢复效果，对患者焦虑情绪和生活质量也有明显改善作用。
Objective To explore the effect of comprehensive nursing intervention on the recovery of patients with urinary retention after cerebral infarction. Methods Patients with urinary retention caused by cerebral infarction in our hospital from May 2016 to May 2017 were selected as the subjects, and were divided into control group and experimental group according to the random number table. The control group was treated with conventional nursing methods, and the experimental group was given comprehensive nursing on the basis of the control group. The curative effect related indexes were observed. Anxiety and quality of life were assessed by the self rating anxiety scale （SAS） and the quality of life core scale （QLQ-C30）. Results The urinary volume in the experimental group was significantly higher than that in the control group （P〈0.05）, and the time of indwelling catheter and the incidence of urinary tract infection were lower than those of the control group （P〈0.05）. The cure rate of the experimental group was 50%, and the total effective rate was 80.8%, higher than those of the control group （22.2% and 62.9%） （P〈0.05）. There were 7 eases of anxiety in the experimental group, the positive rate was 26.9%, which was lower than that in the control group （13 cases and 48.1%） （P〈0.05）. The scores of physical function, cognitive function, role function, social function, and emotional function in the experimental group were higher than those in the control group （P〈0.05）. Conclusion Comprehensive nursing can obviously improve the recovery effect of patients with urinary retention after cerebral infarction, and also improve the anxiety and life quality of the patients.
出处
《国际医药卫生导报》
2018年第2期294-296,共3页
International Medicine and Health Guidance News
关键词
综合护理
脑梗死后尿潴留
疗效观察
生活质量
Comprehensive nursing
Urinary retention after cerebral infarction
Curative effectobservation
Quality of life
