[1]夏荣悦.以间歇导尿为核心的综合护理干预对分娩镇痛后尿潴留的预防效果[J].医学信息,2025,38(02):165-168.[doi:10.3969/j.issn.1006-1959.2025.02.033]
　XIA Rongyue.Preventive Effect of Comprehensive Nursing Intervention with Intermittent Catheterization as the Core on Urinary Retention After Labor Analgesia[J].Journal of Medical Information,2025,38(02):165-168.[doi:10.3969/j.issn.1006-1959.2025.02.033]
点击复制

以间歇导尿为核心的综合护理干预对分娩镇痛后尿潴留的预防效果()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年02期
页码:
165-168
栏目:
护理研究
出版日期:
2025-01-15

文章信息/Info

Title:
Preventive Effect of Comprehensive Nursing Intervention with Intermittent Catheterization as the Core on Urinary Retention After Labor Analgesia
文章编号:
1006-1959（2025）02-0165-04
作者:
夏荣悦
天津市第三中心医院产科，天津 300170
Author(s):
XIA Rongyue
Obstetrics Department of Tianjin Third Central Hospital, Tianjin 300170, China
关键词:
分娩镇痛; 尿潴留; 间歇导尿; 综合护理; 盆底肌功能
Keywords:
Labor analgesia;  Urinary retention;  Intermittent catheterization;  Comprehensive nursing;  Pelvic floor muscle function
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2025.02.033
文献标志码:
A
摘要:
目的 分析以间歇导尿为核心的综合护理干预对分娩镇痛后尿潴留的预防效果。方法 以2023年2月-5月天津市第三中心医院拟行分娩镇痛的58例待产妇为研究对象，经随机数字表法分为对照组（29例）和观察组（29例）。对照组行常规护理干预，观察组在其基础上开展以间歇导尿为核心的综合护理干预，比较两组产后排尿情况（留置尿管、尿潴留、尿失禁）、产后排尿时间、住院时间、产后盆底肌评分、产妇满意度。结果 观察组留置尿管率、尿潴留率、尿失禁发生率均小于对照组（P＜0.05）；观察组产后排尿时间、住院时间均短于对照组（P＜0.05）；两组产后15 d盆底肌评分均高于产后24 h，且观察组产后盆底肌评分高于对照组（P＜0.05）；观察组产妇满意度高于对照组（P＜0.05）。结论 以间歇导尿为核心的综合护理干预可改善分娩镇痛产妇的产后排尿情况，减少尿潴留等排尿障碍的发生，缩短其产后排尿及住院时间，促进盆底肌恢复，提高产妇满意度。
Abstract:
Objective To analyze the preventive effect of comprehensive nursing intervention with intermittent catheterization as the core on urinary retention after labor analgesia. Methods From February to May 2023, 58 parturients who planned to undergo labor analgesia in Tianjin Third Central Hospital were selected as the research objects. They were divided into control group (29 parturients) and observation group (29 parturients) by random number table method. The control group was given routine nursing intervention, and the observation group was given comprehensive nursing intervention with intermittent catheterization as the core on the basis of routine nursing intervention. The postpartum urination (indwelling catheter, urinary retention, urinary incontinence), postpartum urination time, hospitalization time, postpartum pelvic floor muscle score and maternal satisfaction were compared between the two groups. Results The rates of indwelling catheter, urinary retention and urinary incontinence in the observation group were lower than those in the control group (P<0.05). The postpartum urination time and hospitalization time in the observation group were shorter than those in the control group (P<0.05). The pelvic floor muscle scores of the two groups at 15 days after delivery were higher than those at 24 hours after delivery, and the postpartum pelvic floor muscle score of the observation group was higher than that of the control group (P<0.05). The maternal satisfaction of the observation group was higher than that of the control group (P<0.05). Conclusion Comprehensive nursing intervention with intermittent catheterization as the core can improve the postpartum urination of parturients with labor analgesia, reduce the occurrence of urination disorders such as urinary retention, shorten the postpartum urination and hospitalization time, promote the recovery of pelvic floor muscles, and improve the nursing satisfaction.

参考文献/References:

[1]Halliday L,Nelson SM,Kearns RJ.Epidural analgesia in labor: A narrative review[J].Int J Gynaecol Obstet,2022,159(2):356-364.[2]杨洁,冯小明,曹文芳,等.无痛分娩与非无痛分娩产妇产后尿潴留对比研究[J].中国煤炭工业医学杂志,2022,25(2):183-186.[3]张红兵.产后尿潴留的护理干预与临床分析[J].中国药物与临床,2020,20(12):2095-2097.[4]樊雪梅,蒲丛珊,单 春剑,等.分娩镇痛产妇发生持续性产后尿潴留的现状及影响因素研究[J].中国实用护理杂志,2022,38(7):481-486.[5]Grasdal M,Walter M,Krassioukov AV.The microbiological and physical properties of catheters for intermittent catheterization: a systematic review on the impact of reuse and cleaning[J].Spinal Cord,2022,60(7):581-593.[6]李梦玲,王富兰,赵庆华,等.间歇导尿相关临床实践指南的质量评价及证据整合[J].护理学杂志,2020,35(11):36-40.[7]邱娟娟.综合护理干预应用于无痛分娩产妇尿潴留中的有效性及安全性研究[J].重庆医学,2022,51(1):391-393.[8]欧有良,周春兰,张军,等.孕产妇尿潴留时膀胱容积压力变化规律[J].实用医学杂志,2020,36(9):1223-1227.[9]万秋园,赵艳,冯晓姗,等.单胎顺产后尿潴留发生特点及其与产科参数的相关性[J].新疆医科大学学报,2020,43(5):611-614.[10]蒋媚,朱秀梅,朱秀若,等.高龄阴道分娩产妇产后尿潴留的危险因素及预防干预措施[J].中国妇幼保健,2020,35(9):1637-1640.[11]张素萍.临床护理干预对无痛分娩产妇分娩结局及产后尿潴留的影响探究[J].中国全科医学,2019,22(2):216-218.[12]张迎春.临床护理干预对无痛分娩产妇产后尿潴留的影响[J].中国药物与临床,2019,19(2):333-334.[13]杨彩霞,唐淑稳,兰淑海,等.阴道分娩97例初产妇产后尿潴留危险因素临床分析[J].国际妇产科学杂志,2018,45(6):700-703.[14]Al Salhi Y,Fuschi A,Martoccia A,et al.Impact of early self-clean intermittent catheterization in orthotopic ileal neobladder: prospective randomized study to evaluate functional outcomes, continence status and urinary tract infections[J].Minerva Urol Nephrol,2023,75(1):59-65.[15]张晓凤.综合护理干预对无痛分娩产妇焦虑情绪及产程的影响研究[J].山西医药杂志,2022,51(8):937-939.[16]陈立琴,殷盛娴.基于发生风险列线图模型的综合干预在阴道分娩后发生尿潴留患者中的应用价值[J].医学临床研究,2022,39(2):244-247.[17]陈淑玲,林海燕,黄惠芬.体位管理配合优质护理对无痛分娩孕妇母婴结局的影响[J].齐鲁护理杂志,2021,27(5):135-137.[18]曹红玉.预见性护理干预应用于顺产产妇对预防其产后尿潴留的效果观察[J].吉林医学,2019,40(8):1888-1889.[19]李晓霞.探析责任助产与整体护理模式在无痛分娩护理中的应用效果及生活质量影响[J].黑龙江中医药,2022,51(6):218-220.[20]刘艳,何平林,陈林,等.应用约翰霍普金斯循证护理对清洁性间歇导尿患者依从性的影响[J].川北医学院学报,2019,34(6):816-819.

相似文献/References:

[1]欧圣华.自由体位联合分娩镇痛仪在产程中的应用研究[J].医学信息,2018,31(05):176.[doi:10.3969/j.issn.1006-1959.2018.05.065]
　OU Sheng-hua.Study on the Application of Free Body Position Combined with Labor Analgesia Instrument in Labor Process[J].Journal of Medical Information,2018,31(02):176.[doi:10.3969/j.issn.1006-1959.2018.05.065]
[2]王振山,李艳丽,李晓娟,等.不同浓度罗哌卡因应用于分娩镇痛的临床观察[J].医学信息,2019,32(02):154.[doi:10.3969/j.issn.1006-1959.2019.02.046]
　WANG Zhen-shan,LI Yan-li,LI Xiao-juan,et al.Clinical Observation of Different Concentrations of Ropivacaine for Labor Analgesia[J].Journal of Medical Information,2019,32(02):154.[doi:10.3969/j.issn.1006-1959.2019.02.046]
[3]赵 静.潜伏期行椎管内阻滞麻醉分娩镇痛对孕妇分娩结局及 新生儿预后的影响[J].医学信息,2019,32(12):107.[doi:10.3969/j.issn.1006-1959.2019.12.033]
　ZHAO Jing.Effect of Analgesia during Labor in the Incubation Period on the Outcome of Delivery and Prognosis of Pregnant Women[J].Journal of Medical Information,2019,32(02):107.[doi:10.3969/j.issn.1006-1959.2019.12.033]
[4]梁晓峰,冯桂芳,陈大俊,等.膀胱按摩对促进排尿反射的恢复及减少导尿的影响[J].医学信息,2020,33(21):184.[doi:10.3969/j.issn.1006-1959.2020.21.059]
　LIANG Xiao-feng,FENG Gui-fang,CHEN Da-jun,et al.The Effect of Bladder Massage on Promoting the Recovery of Urination Reflex and Reducing Catheterization[J].Journal of Medical Information,2020,33(02):184.[doi:10.3969/j.issn.1006-1959.2020.21.059]
[5]童禹浩,李军文,叶子翔,等.经尿道前列腺电切术后尿道感染影响因素的Meta分析[J].医学信息,2021,34(11):69.[doi:10.3969/j.issn.1006-1959.2021.11.021]
　TONG Yu-hao,LI Jun-wen,YE Zi-xiang,et al.Meta Analysis of Influencing Factors of Urinary Tract Infection After Transurethral Resection of the Prostate[J].Journal of Medical Information,2021,34(02):69.[doi:10.3969/j.issn.1006-1959.2021.11.021]
[6]范文芳,刘起江.缩宫素联合分娩镇痛对产妇宫颈成熟度及机体应激状态的影响[J].医学信息,2021,34(23):108.[doi:10.3969/j.issn.1006-1959.2021.23.031]
　FAN Wen-fang,LIU Qi-jiang.Effect of Oxytocin Combined with Labor Analgesia on Cervical Maturity and Stress State of Parturients[J].Journal of Medical Information,2021,34(02):108.[doi:10.3969/j.issn.1006-1959.2021.23.031]
[7]杨 莹.分娩镇痛联合体位护理对产妇产程及镇痛效果的影响[J].医学信息,2022,35(09):178.[doi:10.3969/j.issn.1006-1959.2022.09.046]
　YANG Ying.Effect of Combined Position Nursing for Labor Analgesia on Labor Process and Analgesic Effect of Puerpera[J].Journal of Medical Information,2022,35(02):178.[doi:10.3969/j.issn.1006-1959.2022.09.046]
[8]何华东.罗哌卡因复合瑞芬太尼腰麻-硬膜外麻醉在分娩镇痛中的价值[J].医学信息,2022,35(17):57.[doi:10.3969/j.issn.1006-1959.2022.17.013]
　HE Hua-dong.The Value of Ropivacaine with Remifentanil Combined Spinal-epidural Anesthesia in Labor Analgesia[J].Journal of Medical Information,2022,35(02):57.[doi:10.3969/j.issn.1006-1959.2022.17.013]
[9]李炳良.罗哌卡因复合瑞芬太尼腰麻-硬膜外麻醉在分娩镇痛中的应用价值[J].医学信息,2022,35(18):57.[doi:10.3969/j.issn.1006-1959.2022.18.013]
　LI Bing-liang.Application Value of Ropivacaine Combined with Remifentanil Spinal-epidural Anesthesia in Labor Analgesia[J].Journal of Medical Information,2022,35(02):57.[doi:10.3969/j.issn.1006-1959.2022.18.013]
[10]刘邦精.硬膜外间歇注药对产妇运动功能和分娩结局的影响[J].医学信息,2022,35(19):65.[doi:10.3969/j.issn.1006-1959.2022.19.017]
　LIU Bang-jing.Effect of Intermittent Epidural Injection on Maternal Motor Function and Delivery Outcome[J].Journal of Medical Information,2022,35(02):65.[doi:10.3969/j.issn.1006-1959.2022.19.017]

更新日期/Last Update: 1900-01-01