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Special nursing intervention on patients with transient ischemic attack of drug compliance

; Postoperative complications; bladder; voiding 【Key Words】 R737.330.56; R619.01 Document code】【39 cases of cervical cancer in recent years we have carried out radical surgery in patients with individualized care and targeted intervention to achieve better results, are reported below. An object and method of object selection 2005-05/2007-05 1.1 Fourth Affiliated Hospital of China Medical University maternity clinic and hospital treatment of cervical cancer patients, patients inclusion criteria: (1) for the first time by the clinical, imaging and pathological diagnosis of cervical cancer patients. (2) the patient had cervical cancer after radical surgery. (3) voluntarily accepted a variety of bladder training and care after intervention. Case exclusion criteria: (1) associated with other urological diseases. (2) to brain metastasis. This paper was selected 78 cases of cervical cancer patients after age 29 to 67 years, mean (48.62 ± 14.38) years. Obstetrics and Gynecology by the World Union (F1GO) staging staging: I of 49 cases (including 33 cases of Ifl,[link widoczny dla zalogowanych], Ib of 16 cases), Ⅱ of 29 cases (21 cases of which Ⅱ fl, Ⅱ b 8 cases). 1.2 Methods 1.2.1 Postoperative care intervention patients after 78 cases of cervical cancer, respectively, by random number table into individual nursing intervention group and usual care group. Conventional methods of care by Combination of individualized nursing interventions to the specific circumstances of each patient, add the following: (1) in the perioperative period to enhance communication with patients, communication, for each patient's fear and perioperative anxiety. Different psychological nursing intervention respectively. (2) patients under the specific circumstances of each, respectively, in patients with different positions guide the urethra, vagina, anal sphincter, abdominal muscle contraction and relaxation exercise. Which were taken before surgery 3d semi-supine, sitting, standing to the urethra, vagina, anal sphincter contraction and relaxation exercises, 3 times / d, 5 ~ 10min / time {start postoperative day 4 supine,[link widoczny dla zalogowanych], left side , right side exercises, 3 times / d, 5min / times; leg after 5 days activities, 2 times / d, 5 ~ 10min / times. (3) According to the patients with urge and decided to put the degree of urinary bladder filling time of 3 ~ 5d catheter to remain open after the regular alternating closed and open catheter. The patient to actively participate in urination, gradual return of micturition reflex. When the patient has to urinate when you put a sense of urine, to urinate on those of non-units: the Fourth Affiliated Hospital of China Medical University,[link widoczny dla zalogowanych], Shenyang 110032A】【Article ID 1009-6647 (2008) 14-3322-023h 1 release of urine, if the patients did not urinate, press the number into the water and bladder filling to set. 2h open during the day and closed 1, closed at night open every 4h 1. (4) after 7 ~ 8d pull catheter in the bladder after 30min wash clean the urethra and keep pulling catheter, and to enable patients to try to relax, environmentally appropriate, forward position, the hand touch of voiding the bladder area; if voiding difficulty, bladder residual urine volume> 100m1,[link widoczny dla zalogowanych], and then continue indwelling catheter until the urine is normal. 1.2.2 The use of instruments for the measurement of residual urine a 1P HP Color ultrasound tip, the probe frequency of 3.5MHz. Subjects generally use the supine position, if necessary, take the left or right side lying supine. Observing the degree of bladder filling and bladder residual urine volume (in the largest cross-section sagittal section and the vertical diameter of the bladder was measured, and the anteroposterior diameter of the left and right path), under the ZOOM function to display the most clear when the measure, its accuracy is 0.01mm test time is after the first 7,1 O days. Urinary retention is defined as more than 1 week after surgery, although still can not urinate or urinate on their own, residual urine ≥ 100In1 patients. 1.2.3 SPSS10.0 statistical analysis software used to process the data collected, observations and statistical data of soil with a mean standard deviation, t-test between groups and significant analysis. 2 Results of individual nursing intervention group 2 cases of urinary retention occurred during hospitalization (5.13), the control group, 9 (23.08),[link widoczny dla zalogowanych], the former was significantly less than the usual care group (= 4.380; P <O.05) . Table 1 shows indicators of postoperative bladder function, the results show that the individualized nursing intervention group after the first 7 days residual urine, residual urine and 10 days after catheter insertion the number of days less than the usual care group were significantly (P all <O.05). Table l postoperative urinary bladder function parameters compared (±) Note: with the usual care group, a, <o. O. 3 to discuss cervical cancer is harmful to the health of adult women primary malignant tumors
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