摘要
目的了解骨科患者术后拔除尿管后的排尿情况,并探究尿痛的影响因素。方法采用方便抽样的方式抽取2020年5月-7月于四川大学华西医院骨科病房行手术治疗的患者160例。采用问卷调查患者的排尿情况,并用logistic回归模型分析影响患者尿痛的因素。结果共有157例患者在拔除尿管后自解小便,其中102例出现尿痛。Logistic回归结果显示,男性[比值比(odds ratio,OR)=0.282,95%置信区间(confidence interval,CI)(0.092,0.863),P=0.027]、华西心晴指数问卷评分[OR=1.407,95%CI(1.124,1.760),P=0.003]以及术中输液量[OR=1.001,95%CI(1.000,1.002),P=0.014]为尿痛的影响因素。结论骨科患者术后拔除尿管后大多能自解小便,但超过一半的患者在首次排尿时出现尿痛。性别、心理状态和术中输液量为术后拔除尿管后尿痛的影响因素。临床护理人员应尽早识别这些影响因素,进行针对性干预,提高患者拔除尿管后自解小便的成功率,降低尿痛的发生率,促进患者康复。
Objective To understand the urination of orthopedic patients after the catheter is removed,and to explore the influencing factors of urodynia.Methods Convenient sampling was used to select 160 patients who underwent surgical treatment in the Department of Orthopedics of West China Hospital of Sichuan University from May to July 2020.Questionnaires were used to investigate the patients’urination,and a logistic regression model was used to analyze the factors affecting the patients’urodynia.Results A total of 157 patients urinated by themselves after the catheter was removed,with 102 cases of dysuria.Logistic regression results showed that male[odds ratio(OR)=0.282,95%confidence interval(CI)(0.092,0.863),P=0.027],Huaxi Emotional-Distress Index score[OR=1.407,95%CI(1.124,1.760),P=0.003]and intraoperative fluid infusion[OR=1.001,95%CI(1.000,1.002),P=0.014]were the influencing factors of urodynia.Conclusion Most orthopedic patients can urinate on their own after the catheter is removed,but more than half of the patients experience urodynia during the first urination.Gender,mental status and intraoperative fluid infusion are the influencing factors of urodynia after urinary catheter removal after surgery.Clinical nursing staff should identify these influencing factors as soon as possible and carry out targeted interventions to improve the success rate of patients with urination after removing the catheter,reduce the incidence of urodynia,and promote the recovery of patients.
作者
廖海英
宁宁
陈佳丽
李佩芳
谢静颖
刘颖
LIAO Haiying;NING Ning;CHEN Jiali;LI Peifang;XIE Jingying;LIU Ying(Department of Orthopedics,West China Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu,Sichuan 610041,P.R.China)
出处
《华西医学》
CAS
2021年第10期1372-1376,共5页
West China Medical Journal
基金
四川大学华西医院学科发展1·3·5工程护理学科发展专项基金(HXHL20003)。
关键词
术后
尿管拔除
排尿现状
影响因素
Postoperative
Catheter removal
Urination status
Influencing factors
