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沙特阿拉伯西部地区普通人群术后尿潴留的危险因素、症状、治疗及预防知识

Knowledge of Risk Factors, Symptoms, Treatment, and Prevention of Postoperative Urinary Retention Among the General Population of the Western Region of Saudi Arabia.

作者信息

Safdar Amani O, Aljuaid Atheer M, Barnawi Waad I, Alwafi Thekra A, Alsehemi Zeyad O

机构信息

Medicine, Umm Al-Qura University, Makkah, SAU.

Surgery, Medicine, Umm Al-Qura University, Makkah, SAU.

出版信息

Cureus. 2025 Jul 31;17(7):e89129. doi: 10.7759/cureus.89129. eCollection 2025 Jul.

Abstract

BACKGROUND

After an operation, patients may experience a variety of complications, including postoperative urinary retention (POUR). POUR is a frequent complication that patients experience after surgical interventions and is defined as the inability to voluntarily void despite having a filled bladder. This study evaluated the awareness of POUR among the citizens of the western region of Saudi Arabia.

METHODS

A descriptive cross-sectional study was done in the western region of Saudi Arabia from October 2024 to January 2025. A total of 500 adults who are living in the region were included in this study. Sociodemographic factors, surgical history, and knowledge of POUR were evaluated using chi-squared tests, mean and standard deviation analysis, and Spearman's correlation test.

RESULTS

A majority of participants (49.8%) were aware of the term POUR, and 74.5% of them correctly defined POUR as the inability to urinate following a surgical procedure despite having a full bladder or the urge to urinate. Furthermore, most of the participants addressed the symptoms of POUR as the urge to urinate accompanied by an inability to void (85.9%), painful inability to void (56.6%), and suprapubic or bladder pain or discomfort (36.7%). Reported risk factors included renal disorders (37.4%), diabetes (23.2%), neurological disorders (15.7%), and hypertension (14.4%).

CONCLUSION

This study highlights that there is moderate awareness of POUR in the region, with a lack of awareness of its symptoms, risk factors, and prevention strategies. Early identification and education are essential to prevent further complications.

摘要

背景

手术后,患者可能会出现各种并发症,包括术后尿潴留(POUR)。POUR是患者在手术干预后经常出现的并发症,定义为尽管膀胱充盈但无法自主排尿。本研究评估了沙特阿拉伯西部地区公民对POUR的认知情况。

方法

2024年10月至2025年1月在沙特阿拉伯西部地区进行了一项描述性横断面研究。本研究共纳入了该地区的500名成年人。使用卡方检验、均值和标准差分析以及Spearman相关性检验对社会人口学因素、手术史和POUR知识进行了评估。

结果

大多数参与者(49.8%)知晓POUR这个术语,其中74.5%的人正确地将POUR定义为手术后尽管膀胱充盈或有排尿冲动但无法排尿。此外,大多数参与者提到POUR的症状为有排尿冲动但无法排尿(85.9%)、排尿时疼痛(56.6%)以及耻骨上或膀胱疼痛或不适(36.7%)。报告的风险因素包括肾脏疾病(37.4%)、糖尿病(23.2%)、神经系统疾病(15.7%)和高血压(14.4%)。

结论

本研究强调该地区对POUR有一定程度的认知,但对其症状、风险因素和预防策略缺乏了解。早期识别和教育对于预防进一步的并发症至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d04/12399181/732aa2343c8b/cureus-0017-00000089129-i01.jpg

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