Effect Of Acupoint Massage Combined With Yoga Relaxation Music To Prevent Urine Retention After Renal Puncture

Objective:To evaluate the effect of nursing intervention of preoperative and postoperative acupoint massage combined with yoga relaxation music on preventing the occurrence of urinary retention after renal puncture.Method:A total of 180 inpatients undergoing renal puncture who met the criteria for inclusion and exclusion were selected from January 2017 to February 2018 in a tertiary hospital in Jilin Province for treatment.The patients were divided into the experimental group and the control group,90 cases in each group.Patients in the control group were given routine nursing care.On the basis of this,the experimental group was treated with point massage and yoga relaxation music.Evaluation indicators: incidence of urinary retention after renal puncture,systolic pressure,diastolic pressure,heart rate,total score of mood state and various dimensions of the patients in the experimental group and the control group 2 days before renal puncture,before entering the renal puncture room and 1 hour after renal puncture.The general data,blood pressure,heart rate,urination status and simple mood scale score of the experimental group and control group were entered into the Excel database,the data were analyzed by spss19.0 statistical software.Among them,independent sample t test is used for the measurement data that obey normal distribution,rank sum test is used for the measurement data that do not obey normal distribution,chi-square test is used for the counting data,and rank sum test is used for the classification data in the counting.The final result P < 0.05 is statistically significant.Result:There was no significant difference in age,sex and educational level between the experimental group and the control group(P>0.05)The general data of patients in the experimental group and the control group are comparable.In the experimental group and the control group,the patients with renal puncture were compared with the urination situation after renal puncture,and the post-renal puncture urination condition of the experimental group and the control group was examined with a chi-square test.In the experimental group,81 cases were self-urination,the self-urination rate was 92 %,and the urine retention rate was 7cases.The incidence of urinary retention is 8 %;The control group had 64 cases of self-urination,72 % of self-urination rate,25 cases of urinary retention,28 % of urinaryretention rate,and P <0.05,with statistical difference.There was no statistical difference between the experimental group and the control group before renal puncture for 2 days of systolic pressure,diastolic pressure,and heart rate(P>0.05),The contractile pressure,diastolic pressure and heart rate were comparable between the experimental group and the control group.The comparison of systolic pressure,diastolic pressure and heart rate between the experimental group and the control group before entering the renal puncture room was statistically different(P<0.05).There was no difference in 1 hour systolic pressure,diastolic pressure and heart rate between the experimental group and the control group after renal puncture(P>0.05).There was no significant difference in the overall state of mind score and dimension score of 2 days before renal puncture in the experimental group and control group(P>0.05)The state of mind of the patients in the experimental group and the control group was comparable.There was a statistically significant difference between the experimental group and the control group in the anxiety dimension score before entering the renal puncture room(P<0.05).There was a statistical difference between the patients in the experimental group and the control group in 1h overall state of mind score,tires-anxiety dimension score,and fatigue and obtuse dimension score after renal puncture(P<0.05).Conclusion:1.Acupoint massage combined with yoga relaxation music can reduce the incidence of urinary retention after renal puncture.2.Acupoint massage combined with yoga relaxation music can reduce the preoperative stress response,so that blood pressure,heart rate is relatively stable before the patients enter the renal puncture room,conducive to the smooth operation of renal puncture.3.Acupoint massage combined with yoga relaxation music can improve patients 'preoperative and postoperative state of mind and prevent urinary retention after renal puncture.