無(wú)痛分娩產(chǎn)前尿潴留產(chǎn)婦個(gè)性化護(hù)理分析

張巧媛

【摘 要】目的：分析產(chǎn)前尿潴留行無(wú)痛分娩產(chǎn)婦的個(gè)性化護(hù)理方法。方法：將我院無(wú)痛分娩的產(chǎn)前尿潴留患者作為觀察對(duì)象，隨機(jī)數(shù)字法分為兩組，對(duì)照組采取常規(guī)護(hù)理，觀察組采取個(gè)性化護(hù)理，對(duì)比產(chǎn)婦護(hù)理后的滿意度、并發(fā)癥及心理狀態(tài)。結(jié)果：觀察組患者護(hù)理滿意度高于對(duì)照組（P<0.05）。觀察組患者發(fā)生產(chǎn)后出血1例、產(chǎn)后尿潴留0例；對(duì)照組患者發(fā)生產(chǎn)后出血3例、產(chǎn)后尿潴留3例；觀察組并發(fā)癥發(fā)生率為2.5%，對(duì)照組產(chǎn)婦并發(fā)癥發(fā)生率為15%，觀察組并發(fā)癥發(fā)生率高于對(duì)照組（P<0.05）。護(hù)理前，兩組患者SAS及SDS評(píng)分均較高（P>0.05）；護(hù)理后，觀察組SAS及SDS評(píng)分均低于對(duì)照組（P<0.05）。結(jié)論：在無(wú)痛分明產(chǎn)前尿潴留產(chǎn)婦護(hù)理中，采取個(gè)性化護(hù)理有利于提升臨床護(hù)理質(zhì)量。

【關(guān)鍵詞】無(wú)痛分娩；產(chǎn)前尿潴留；個(gè)性化護(hù)理

Personalized nursing analysis of painless childbirth

ZHANG Qiaoyuan

Fenyang hospital of Shanxi， Fenyang， Shanxi 032200， China

【Abstract】Objective： to analyze the individualized nursing methods of painless childbirth mothers with antenatal urinary retention. Methods： the patients with antenatal urinary retention in painless childbirth in our hospital were selected as the observation objects. The patients were randomly divided into two groups. The control group received routine nursing， while the observation group adopted individualized nursing. Results： the nursing satisfaction of patients in the observation group was higher than that in the control group（P<0.05）. The observation group had 1 cases of postpartum hemorrhage 0 cases of postpartum urinary retention. Control group 3 cases of postpartum hemorrhage and 3 cases of postpartum urinary retention. The complication rate was 2.5% in the observation group and 15% in the control group. The complication rate in the observation group was higher than that in the control group（P<0.05）. Before nursing， the SAS and SDS scores of the two groups were higher （P>0.05）； After nursing， the SAS and SDS scores of the observation group were lower than those of the control group（P<0.05）. Conclusion： individualized nursing is beneficial to improve the quality of clinical nursing in maternal care for painless and pre partum urinary retention.

【Key？Words】painless delivery； Prenatal urine retention ；Personalized nursing

尿潴留是圍產(chǎn)期常見(jiàn)并發(fā)癥，該疾病的發(fā)生原因較為復(fù)雜，包括產(chǎn)婦腹內(nèi)壓增高及胎兒壓迫等[1]。一般情況下，產(chǎn)前尿潴留可以在產(chǎn)后恢復(fù)，產(chǎn)前往往需要導(dǎo)尿緩解，避免長(zhǎng)期尿潴留對(duì)產(chǎn)婦的生理功能產(chǎn)生影響。產(chǎn)婦在日常生活中也要做好陰部清潔，多喝水，避免發(fā)生尿路感染。在產(chǎn)前尿潴留管理過(guò)程中，臨床常規(guī)護(hù)理管理模式是根據(jù)醫(yī)囑為產(chǎn)婦安插導(dǎo)尿管，對(duì)患者進(jìn)行適當(dāng)?shù)闹笇?dǎo)。產(chǎn)前發(fā)生尿潴留的產(chǎn)婦容易發(fā)生負(fù)面心理，擔(dān)心分娩結(jié)局，對(duì)此，在護(hù)理過(guò)程中應(yīng)當(dāng)為產(chǎn)婦采取個(gè)性化護(hù)理干預(yù)，從而改善產(chǎn)婦不良心理狀態(tài)，提升臨床護(hù)理工作質(zhì)量。本研究將我院納入的產(chǎn)婦作為觀察對(duì)象，分不同護(hù)理方法對(duì)產(chǎn)前尿潴留患者的影響。

1 資料與方法

1.1 一般資料

將我院2020年1月至2021年7月納入的產(chǎn)前尿潴留產(chǎn)婦80例作為觀察對(duì)象，隨機(jī)數(shù)字法對(duì)產(chǎn)婦進(jìn)行分組，兩組產(chǎn)婦各40例。年齡22歲～38歲，平均年齡（30.12±4.21）歲，初產(chǎn)婦48例、經(jīng)產(chǎn)婦32例，孕周36周～41周，平均孕周在（38.31±4.21）周，產(chǎn)婦均選擇無(wú)痛分娩，且發(fā)生產(chǎn)前尿潴留，兩組產(chǎn)婦一般資料對(duì)比（P>0.05）。

1.2 方法

對(duì)照組：產(chǎn)婦采取常規(guī)護(hù)理方法干預(yù)，產(chǎn)婦入院后，已經(jīng)確診為產(chǎn)前尿潴留，護(hù)理人員對(duì)患者基本資料進(jìn)行分析，為患者采取導(dǎo)尿操作，使產(chǎn)婦將尿液排出，在導(dǎo)尿后，叮囑產(chǎn)婦清洗陰部，預(yù)防尿路感染。