目的探讨个体化指导及训练对全子宫切除术后尿潴留的影响。方法选取全子宫切除患者120例,随机分为观察组和对照组,每组60例。两组均予以全子宫切除术后常规护理,观察组再进行个体指导与训练。后者的措施包括一对一指导患者行Kegel运动、膀胱生物反馈锻炼等措施。比较两组尿潴留的发生率及患者满意度。结果观察组尿潴留发生率低于对照组(1.7%vs.11.7%),观察组患者满意度高于对照组[(98.1±0.2)%vs.(93.9±0.4)%](P<0.05)。结论对全子宫切除术患者,采取个体化指导及训练能降低术后尿潴留发生率,改善生活质量,提高患者满意度。 Objective To explore the effect of individualized instruction and training on urinary retention after hysterectomy. Methods Totally 120 cases of hysterectomy were randomly divided into observation group and control group, 60 cases in each group. Both groups were given routine nursing after hysterectomy, observation group and then individual guidance and training. The latter measures include one-on-one guiding patients with Kegel exercise, bladder biofeedback and other measures. The incidence of urinary retention and patient satisfaction were compared between the two groups. Results The incidence of urinary retention in observation group was lower than that in control group (1.7% vs.11.7%), and satisfaction in observation group was higher than that in control group [(98.1 ± 0.2)% vs (93.9 ± 0.4)%] (P0.05) . Conclusion For hysterectomy patients, taking individualized instruction and training can reduce the incidence of postoperative urinary retention, improve quality of life, and improve patient satisfaction.