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| Application Effect of Self-Care Theory Combined with Predictive Strategy in the Management of Postpartum Urinary Retention |
| WANG Panpan, ZHOU Qin, WEN Zhiqi |
| Department of Labor Room, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou Henan 450000 |
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Abstract 【Objective】 To explore the application effect of self-care theory combined with predictive strategy in the management of postpartum urinary retention. 【Methods】A prospective controlled trial was conducted. A total of 120 puerperae who delivered in Zhengzhou Central Hospital Affiliated to Zhengzhou University from January 2022 to December 2023 were enrolled and divided into a control group (receiving routine nursing care) and an observation group (receiving nursing care based on self-care theory combined with predictive strategy) according to admission order, with 60 cases in each group. The incidence of postpartum urinary retention, bladder function, psychological status [assessed by the Edinburgh Postnatal Depression Scale (EPDS) and the Self-Perceived Burden Scale (SPBS) score], and the overall incidence of complications were compared between the two groups. 【Results】After the intervention, the overall incidence of postpartum urinary retention and the residual urine volume in the observation group were significantly lower than those in the control group (P<0.05); the time to first voiding was significantly shorter, and the single voided volume and maximum urinary flow rate were significantly higher than those in the control group (P<0.05). After the intervention, the EPDS and SPBS scores of both groups decreased significantly compared with their baseline levels, with the observation group scoring significantly lower than the control group (all P<0.05). The overall incidence of complications in the observation group was significantly lower than that in the control group (P<0.05). 【Conclusion】The application of self-care theory combined with predictive strategy in the management of postpartum urinary retention can effectively reduce the incidence of urinary retention, improve bladder function, promote psychological well-being, and lower the incidence of complications.
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Received: 23 April 2025
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