Effect of early intervention on the incidence of postpartum urinary retention and nursing strategies
早期干预对产后尿潴留发生率的影响及护理对策

摘要

目的 探究早期综合护理干预对产后尿潴留发生率的影响，明确优化护理对策，提升产后护理质量与产妇康复体验。方法 选取2022年3月至2025年3月本院收治的300例足月分娩产妇为研究对象，按随机数字表法分为对照组与实验组，各150例。对照组实施产科常规产后护理，实验组采用“健康宣教-生理干预-心理疏导”三维早期综合干预模式，对比两组产后尿潴留发生率、首次排尿时间及护理满意度。结果 实验组产后尿潴留发生率（4.00%）显著低于对照组（14.67%），首次排尿时间（2.36±0.85h）显著短于对照组（4.89±1.21h），护理满意度（96.67%）高于对照组（83.33%），组间差异均有统计学意义（P＜0.05）。结论 早期综合护理干预可有效降低产后尿潴留发生率，缩短首次排尿时间，提升护理满意度，其针对性护理对策可为产科产后护理提供实践参考，值得临床推广。

Abstract

Objective To investigate the impact of early comprehensive nursing intervention on the incidence of postpartum urinary retention, clarify optimized nursing strategies, and improve postpartum care quality and maternal rehabilitation experience.
Methods A total of 300 full-term deliveries admitted to our hospital from March 2022 to March 2025 were selected as study subjects and randomly divided into a control group and an experimental group (n=150 each) using a random number table. The control group received routine obstetric postpartum care, while the experimental group adopted a three-dimensional early comprehensive intervention model of "health education-physiological intervention-psychological counseling." The incidence of postpartum urinary retention, first urination time, and nursing satisfaction were compared between the two groups.
Results The incidence of postpartum urinary retention in the experimental group (4.00%) was significantly lower than that in the control group (14.67%). The first urination time (2.36±0.85 h) was significantly shorter than that in the control group (4.89±1.21 h), and nursing satisfaction (96.67%) was higher than that in the control group (83.33%). All intergroup differences were statistically significant (P<0.05).
Conclusion   Early comprehensive nursing intervention can effectively reduce the incidence of postpartum urinary retention, shorten the first urination time, and improve nursing satisfaction. Its targeted nursing strategies can provide practical references for obstetric postpartum care and are worthy of clinical promotion.