論文編號(hào):HL124  論文字?jǐn)?shù):8163.頁(yè)數(shù):20

論文題目：護(hù)理干預(yù)對(duì)宮頸癌根治術(shù)后尿潴留的影響
摘　要
 目的：本研究采用病例對(duì)照探討護(hù)理干預(yù)對(duì)宮頸癌根治術(shù)后尿潴留的影響，通過(guò)加強(qiáng)宮頸癌患者術(shù)前、術(shù)后綜合護(hù)理，達(dá)到有效預(yù)防和減少宮頸癌患者術(shù)后尿潴留的發(fā)生。
 方法：研究對(duì)象來(lái)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(jié)清掃術(shù)的患者。將入選的60位患者按入院先后隨機(jī)分為兩組，實(shí)驗(yàn)組30人，對(duì)照組30人。實(shí)驗(yàn)組患者術(shù)前給予心理疏導(dǎo)、盆底肌肉的鍛煉，術(shù)后采用個(gè)體化放尿、膀胱沖洗的護(hù)理干預(yù)措施。對(duì)照組患者術(shù)后按長(zhǎng)期留置尿管護(hù)理。
 結(jié)果：兩組研究人群在年齡上的差別無(wú)統(tǒng)計(jì)學(xué)意義，實(shí)驗(yàn)組的殘余尿量明顯低于對(duì)照組，差別有統(tǒng)計(jì)學(xué)意義，實(shí)驗(yàn)組尿潴留發(fā)生率為10%；對(duì)照組尿潴留發(fā)生率為36%，實(shí)驗(yàn)組尿潴留發(fā)生率明顯低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。
 結(jié)論：加強(qiáng)宮頸癌患者術(shù)前、術(shù)后綜合護(hù)理，能有效預(yù)防和減少宮頸癌患者術(shù)后尿潴留的發(fā)生，促進(jìn)宮頸癌術(shù)后膀胱功能的恢復(fù)。
關(guān)鍵詞: 宮頸癌  宮頸癌根治術(shù)   尿潴留   護(hù)理干預(yù)
研究類型：類實(shí)驗(yàn)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(biāo)..................................................1
1.3關(guān)鍵詞及定義................................................1
1.3.1宮頸癌....................................................1
1.3.2宮頸癌根治術(shù)..............................................2
1.3.3尿潴留....................................................2
1.3.4護(hù)理干預(yù)..................................................2
1.4 文獻(xiàn)回顧......................................................2
1.4.1宮頸癌根治術(shù)后尿潴留的發(fā)生率.................................2
1.4.2宮頸癌根治術(shù)后尿潴留發(fā)生原因.................................2
1.4.3護(hù)理干預(yù)對(duì)宮頸癌根治術(shù)后尿潴留的影響.........................3
2 研究方法.......................................................7
2.1 研究設(shè)計(jì).....................................................7
2.2研究對(duì)象.....................................................7
2.3.研究方法. ...................................................7
2.4 資料分析................................................... .........8
3. 結(jié)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(fā)生率...........................................10
4. 討論..........................................................12
5.推論及建議.................................................... .......14
致謝.......................................................15
參考文獻(xiàn)............................................ 16