【摘要】 目的探讨肝癌化疗栓塞术后尿潴留的预防和护理对策。方法将80例经导管化疗栓塞术(transcatheter arterial chemoembolization,TACE)的肝癌患者随机分为试验组和对照组,试验组50例,术前给予专门的针对性健康教育与床上排便训练等护理措施;对照组30例仅给予常规健康教育,术后对出现尿潴留的患者采用心理辅导及听流水声、按摩、会阴冲洗等方法诱导患者排尿。结果试验组术后仅有2例出现尿潴留(2/50),对照组6例出现尿潴留(6/30),两组间比较有显著性差异,8例尿潴留患者经心理辅导及对症处理措施后全部顺利解除尿潴留。结论术前采取针对性健康教育,加强并落实患者的床上排便训练等护理措施,能有效降低TACE术后尿潴留的发生,术后的心理辅导及对症处理措施后能有效解除尿潴留。更多还原

【Abstract】 Objective To discuss the precaution and nursing strategy of urinary retention after transcatheter arterial chemoembolization. Methods 80 patients of hepatoma which accepted transcatheter arterial chemoembolization were divided into two groups:experimental group and compared group. Experimental group contained 50 patients, which were given nursing intervention such as specialized healthy education, toilet training on the bed, and so on. Compared group contained 50 patients, which were only given routine healthy education. The patients occurred urinary retention after the operation were adopted psychological training and listening lotic water, chirapsia, perineal douche, and so on, to induce urination. Results Urinary retention were occurred in 2/50 cases of experimental group after the operation, while it was 6/30 in compared group, It had significant difference between the two groups. After the psychological training and relative process, 8 cases of urinary retention smoothly relieved it. Conclusion The nursing strategy such as specialized healthy education, enhancing and fulfilling toilet training on the bed before operation, can decease the happen of urinary retention, the psychological training and relative process after the operation can also relieve urinary retention effectively.更多还原