Effects of Preventive Nursing Care Combined with Auricular Acupressure on the Incidence of Postpartum Urinary Retention in Women with Vaginal Delivery

Abstract

Objective: This study was designed to assess the effects of preventive nursing care combined with auricular acupressure on the incidence of postpartum urinary retention in women with vaginal delivery. Methods: A total of 260 women who delivered vaginally in Shijiazhuang Fourth Hospital from March 2019 to March 2020 were enrolled into the observation group and the control group, with 130 cases in each group. Both groups were given preventive nursing, and the observation group was given additional auricular acupressure. The incidence of urinary retention, duration of voiding, residual urine volume, and indwelling urinary catheter were analyzed, and the treatment efficiency and satisfaction towards nursing care were compared. Results: The observation group showed a significantly lower incidence of urinary retention and experienced a significantly earlier time to first urination than the control group (both P<0.001). The amount of residual urine at 6h and 24h after delivery in the observation group was significantly less than in the control group (P<0.05).Fewer cases of indwelling urinary catheters were found in the observation group than those in the control group (P<0.05). The treatment efficiency and nursing satisfaction in the observation group were both significantly better than those in the control group (P<0.05). Conclusion: The combination of preventive nursing with auricular acupressure can contribute to a higher satisfaction among parturients by alleviating postpartum urinary retention, shortening the time to first voiding, reducing residual urine volume, and avoiding indwelling urinary catheters, so it merits clinical promotion.

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