護理干預對宮頸癌根治術后尿潴留的影響

論文編號:HL124  論文字數:8163.頁數:20

論文題目：護理干預對宮頸癌根治術后尿潴留的影響
摘　要
 目的：本研究采用病例對照探討護理干預對宮頸癌根治術后尿潴留的影響，通過加強宮頸癌患者術前、術后綜合護理，達到有效預防和減少宮頸癌患者術后尿潴留的發生。
 方法：研究對象來源于2010年9月到2011年7月期間在我院行廣泛子宮切除加盆腔淋巴結清掃術的患者。將入選的60位患者按入院先后隨機分為兩組，實驗組30人，對照組30人。實驗組患者術前給予心理疏導、盆底肌肉的鍛煉，術后采用個體化放尿、膀胱沖洗的護理干預措施。對照組患者術后按長期留置尿管護理。
 結果：兩組研究人群在年齡上的差別無統計學意義，實驗組的殘余尿量明顯低于對照組，差別有統計學意義，實驗組尿潴留發生率為10%；對照組尿潴留發生率為36%，實驗組尿潴留發生率明顯低于對照組，差異有統計學意義（P<0.05）。
 結論：加強宮頸癌患者術前、術后綜合護理，能有效預防和減少宮頸癌患者術后尿潴留的發生，促進宮頸癌術后膀胱功能的恢復。
關鍵詞: 宮頸癌  宮頸癌根治術   尿潴留   護理干預
研究類型：類實驗研究
Title: Nursing intervention on the impact of cervical cancer after radical resection of urinary retention
ABSTRACT
Objective  This case-control study of nursing intervention on the impact of cervical cancer radical surgery urinary retention, by strengthening cervical cancer patients before and after integrated care, to effectively prevent and reduce the incidence of cervical cancer patients with postoperative urinary retention,

Methods  Object of study from September 2010 to July 2011 in our hospital during the hysterectomy and pelvic lymph node dissection patients. 60 patients will be selected randomly divided into two groups according to admission have the experimental group 30, control group 30. Experimental group were given psychological counseling before surgery, pelvic floor muscle training, after the use of individual release of urine [1], bladder irrigation in nursing interventions. Control group patients by long-term indwelling catheter care.

Results  Two study groups in age, the difference was not statistically significant, the experimental group, residual urine volume was significantly lower than the control group, the difference was statistically significant, the experimental group was 10% incidence of urinary retention; control group incidence of urinary retention rate was 36 %, the incidence of urinary retention in the experimental group was significantly lower than the control group.

Conclusion  Strengthening cervical cancer patients before surgery, comprehensive care, can effectively prevent and reduce the incidence of postoperative urinary retention in patients with cervical cancer, cervical cancer after surgery to promote recovery of bladder function.

Key words: Cervical cancer,Radical surgery of cervical cancer,Urinary retention,Nursing intervention
Study type：quasi-experimental study

目  錄
1 前言.........................................................1
1.1背景和意義..................................................1
1.2目的及目標..................................................1
1.3關鍵詞及定義................................................1
1.3.1宮頸癌....................................................1
1.3.2宮頸癌根治術..............................................2
1.3.3尿潴留....................................................2
1.3.4護理干預..................................................2
1.4 文獻回顧......................................................2
1.4.1宮頸癌根治術后尿潴留的發生率.................................2
1.4.2宮頸癌根治術后尿潴留發生原因.................................2
1.4.3護理干預對宮頸癌根治術后尿潴留的影響.........................3
2 研究方法.......................................................7
2.1 研究設計.....................................................7
2.2研究對象.....................................................7
2.3.研究方法. ...................................................7
2.4 資料分析................................................... .........8
3. 結果........................................................9
3.1一般資料的比較.............................................9
3.2兩組殘余尿量的比較.........................................9
3.3兩組尿潴留發生率...........................................10
4. 討論..........................................................12
5.推論及建議.................................................... .......14
致謝.......................................................15
參考文獻............................................ 16