Analysis of the effect of quality control circle guided cluster nursing on the improvement of urination status andurinary retention of urological patients after catheter removal
以品管圈为指导的集束化护理对泌尿外科患者拔尿管后排尿状况及尿潴留的改善作用分析

摘要

目的 分析以品管圈为指导的集束化护理对泌尿外科患者拔尿管后排尿状况及尿潴留的改善作用。 方法 选取 2020 年 5 月-2023 年 5 月期间我院收治的泌尿外科患者 187 例作为研究目标，按入院时间先后分为常 规组 93 例，研究组 94 例，常规组采用常规护理干预，研究组采用以品管圈为指导的集束化护理干预。对两组患 者拔尿管后的疼痛程度、排尿状况以及护理满意度进行对比。结果 研究组拔尿管后的疼痛程度低于常规组（P ＜0.05），差异存在统计学意义。研究组自主排尿、诱导排尿、尿潴留情况均优于常规组（P＜0.05），差异存在 统计学意义。研究组护理满意率为98.93%，常规组护理满意率为83.87%，研究组护理满意率高于常规组（P＜0.05）， 差异存在统计学意义。结论 以品管圈为指导的集束化护理可以减轻泌尿外科患者拔尿管后的疼痛，有效降低泌 尿外科患者尿潴留状况的发生，提高护理满意度，值得临床推广及应用。

Abstract

Objective To analyze the effect of cluster nursing guided by quality control circle on the improvement of urination status and urinary retention of urological patients after catheter removal. Method 187 urological patients admitted to our hospital from May 2020 to May 2023 were selected as the research objective. They were divided into a routine group of 93 patients and a study group of 94 patients based on admission time. The routine group received routine nursing intervention, while the study group received cluster nursing intervention guided by the quality control circle. Compare the pain level, urination status, and nursing satisfaction of two groups of patients after removing the catheter.Result The pain level after removing the catheter in the study group was lower than that in the conventional group (P<0.05), and the difference was statistically significant. The situation of autonomous urination, induced urination and urinary retention in the study group was better than that in the routine group (P<0.05). The nursing satisfaction rate in the research group was 98.93%, while the nursing satisfaction rate in the conventional group was 83.87%. The nursing satisfaction rate in the research group was higher than that in the conventional group (P<0.05), and the difference was statistically significant.
Conclusion   Cluster nursing guided by the quality control circle can alleviate the pain of urological patients after pulling out the catheter, effectively reduce the occurrence of urinary retention in urological patients, and improve nursing satisfaction, which is worthy of clinical promotion and application.