Analysis of the clinical value of high-quality nursing intervention in preventing postpartum urinary retention
优质护理干预在预防产后尿潴留中的临床价值分析

摘要

目的 探讨优质护理干预在预防产后尿潴留及促进排尿功能恢复中的临床价值。方法 将66例自然分娩产妇随机分为对照组（33例，常规护理）与观察组（33例，优质护理干预），比较首次排尿时间、尿量、残余尿量、排尿通畅评分及尿潴留发生率，采用t检验与χ²检验分析。结果 观察组首次排尿时间显著缩短（3.8±0.9 h vs. 5.2±1.1 h，P＜0.001），首次排尿尿量增加（278.6±36.4 mL vs. 215.4±41.2 mL，P＜0.001），残余尿量降低（42.7±18.9 mL vs. 95.3±21.6 mL，P＜0.001），排尿通畅评分提高（8.2±1.0 vs. 5.3±1.2分，P＜0.001），尿潴留发生率明显下降（6.10% vs. 30.30%，P=0.01）。结论 优质护理干预可显著促进产妇排尿功能恢复，降低尿潴留发生率，具备较高的临床应用价值。

Abstract

Objective To explore the clinical value of high-quality nursing intervention in preventing postpartum urinary retention and promoting the recovery of urinary function.
Methods Sixty-six women who delivered naturally were randomly divided into a control group (33 cases, conventional care) and an observation group (33 cases, high-quality nursing intervention). The time of first urination, urine volume, residual urine volume, urination smoothness score, and the incidence of urinary retention were compared between the two groups. T-test and χ² test were used for analysis.
Results The time of first urination in the observation group was significantly shortened (3.8 ± 0.9 h vs. 5.2 ± 1.1 h, P < 0.001), the volume of first urination increased (278.6 ± 36.4 mL vs. 215.4 ± 41.2 mL, P < 0.001), the residual urine volume decreased (42.7 ± 18.9 mL vs. 95.3 ± 21.6 mL, P < 0.001), the urination smoothness score improved (8.2 ± 1.0 vs. 5.3 ± 1.2, P < 0.001), and the incidence of urinary retention decreased significantly (6.10% vs. 30.30%, P = 0.01).
Conclusion   High-quality nursing intervention can significantly promote the recovery of urinary function in postpartum women and reduce the incidence of urinary retention, demonstrating high clinical application value.