Nursing management of postoperative urination function in gynecological laparoscopic surgery patients
妇科腹腔镜手术患者术后排尿功能的护理管理

摘要

目的 随着医学科技的进步，妇科腹腔镜手术已成为妇科疾病诊疗的重要手段。然而，手术后患者的排尿功能常常会受到一定程度的影响。因此，对妇科腹腔镜手术患者术后排尿功能进行有效的护理管理显得尤为重要。1. 预防尿潴留：通过有效的护理管理，降低妇科腹腔镜手术患者术后发生尿潴留的风险。2. 促进膀胱功能恢复：帮助患者尽快恢复膀胱功能，提高其生活质量。3. 减少并发症：通过护理干预，减少因排尿问题引发的感染、疼痛等并发症。方法 1. 术前评估：在手术前对患者进行排尿功能评估，了解患者的排尿情况，为术后护理提供依据。2. 心理干预：加强与患者的沟通，解释术后可能出现排尿困难的原因及处理方法，缓解患者的焦虑情绪。3. 定时排尿训练：术后早期，护士定时帮助患者排尿，逐步培养患者的自主排尿习惯。4. 导尿与膀胱锻炼：对于无法自行排尿的患者，可采取导尿术，同时进行膀胱功能锻炼，促进膀胱恢复。5. 出院指导：出院前向患者及家属提供详细的排尿功能康复指导，确保患者出院后能够继续进行康复训练。结果 经过精心护理管理，本研究结果显示：1. 尿潴留发生率降低：通过术前评估和心理干预，患者的尿潴留发生率显著降低。2. 膀胱功能恢复加快：定时排尿训练和膀胱锻炼有效促进了患者的膀胱功能恢复。3. 并发症减少：疼痛管理有效减少了因排尿问题引发的感染、疼痛等并发症。结论 综上所述，对妇科腹腔镜手术患者术后排尿功能进行有效的护理管理具有重要的临床意义。通过术前评估、心理干预、定时排尿训练、导尿与膀胱、疼痛管理以及出院指导等措施，可以有效预防尿潴留、促进膀胱功能恢复并减少并发症的发生。因此，在妇科腹腔镜手术患者的护理过程中应重视排尿功能的护理管理。

Abstract

Objective With the advancement of medical technology, gynecological laparoscopic surgery has become an important means for the diagnosis and treatment of gynecological diseases. However, the urination function of patients after surgery is often affected to a certain extent. Therefore, it is particularly important to conduct effective nursing management for the postoperative urination function of patients undergoing gynecological laparoscopic surgery. 1. Prevention of urinary retention: Through effective nursing management, the risk of postoperative urinary retention in patients undergoing gynecological laparoscopic surgery can be reduced. 2. Promote the recovery of bladder function: Help patients restore bladder function as soon as possible and improve their quality of life. 3. Reduce complications: Through nursing intervention, reduce complications such as infection and pain caused by urination problems.
Methods 1. Preoperative assessment: Before the operation, the patient's urination function is evaluated to understand the patient's urination situation and provide a basis for postoperative care. 2. Psychological intervention: Enhance communication with the patient, explain the possible causes and treatment methods for postoperative difficulty in urination, and alleviate the patient's anxiety. 3. Timed urination training: In the early postoperative period, the nurse helps the patient urinate at regular intervals, gradually cultivating the patient's habit of independent urination. 4. Catheterization and bladder exercise: For patients who are unable to urinate independently, catheterization can be performed, along with bladder function exercises to promote bladder recovery. 5. Discharge guidance: Before discharge, provide detailed rehabilitation guidance on urination function to the patient and their family to ensure that the patient can continue rehabilitation training after discharge.
Results Through meticulous nursing management, the results of this study show that: 1. The incidence of urinary retention is reduced: Through preoperative assessment and psychological intervention, the incidence of urinary retention in patients is significantly reduced. 2. Accelerated recovery of bladder function: Regular urination training and bladder exercise effectively promoted the recovery of bladder function in patients. 3. Reduced complications: Pain management effectively reduces complications such as infection and pain caused by urination problems.
Conclusion   To sum up, effective nursing management of postoperative urination function in patients undergoing gynecological laparoscopic surgery has significant clinical significance. Through measures such as preoperative assessment, psychological intervention, timed urination training, catheterization and bladder, pain management, and discharge guidance, urinary retention can be effectively prevented, the recovery of bladder function can be promoted, and the occurrence of complications can be reduced. Therefore, in the nursing process of patients undergoing gynecological laparoscopic surgery, the nursing management of urinary function should be emphasized.