留置导尿冲洗疏通两用接头在膀胱癌晚期患者膀胱冲洗中的应用效果  

Application effects of triple bypass used for bladder irrigation by indwelling catheter in patients with terminal stage of bladder cancer

作　　者：孟晓敏[1] 李雪娇[1] 肖映红[1] 

机构地区：[1]解放军总医院南楼肿瘤内科一病区,北京100853

出　　处：《中华现代护理杂志》2015年第26期3210-3212,共3页Chinese Journal of Modern Nursing

基　　金：专利项目：国家实用新型专利（ZL201120297388.8）

摘　　要：目的：探讨自行设计的留置导尿冲洗疏通两用接头在膀胱癌晚期患者中的应用效果。方法采用方便抽样选取41例老年膀胱癌持续膀胱冲洗的患者，随机分为观察组（21例）和对照组（20例）。观察组采用自制的冲洗疏通两用接头进行尿管堵塞处理，对照组采用常规膀胱冲洗方法进行冲洗。比较两组操作时间、操作者及患者满意度、膀胱冲洗后尿管接头菌落培养情况。结果观察组护士操作时间明显少于对照组，操作者及患者满意度较对照组高，观察组膀胱冲洗后尿管接头菌落增长数也低于对照组，差异均有统计学意义（P〈0.05）。结论采用冲洗疏通两用接头，有利于膀胱癌晚期患者膀胱冲洗过程中疏通尿管，降低感染几率。Objective To investigate the application of the triple bypass used for bladder irrigation by indwelling catheter in patients with terminal stage of bladder cancer. Methods A convenience sampling was used to select 41 elderly bladder cancer patients with bladder irrigation, who were averagely divided into experimental group and control group. The patients of experimental group used the triple bypass to dredge the catheter, and the patients of control group utilized conventional bladder irrigation methods. Compared the operating time, nurses and patients＇ satisfaction, infection risk between two groups. Results The nurse＇s operation time in the experimental group was apparently lower than that of the control group, and the operator and patient＇s satisfaction were higher than those of the control group, but the growing number of bacterial colony in the experimental group was lower than that of the control group （ P 〈 0.05 ）. Conclusions The triple bypass is beneficial to patients with terminal stages of bladder cancer for dredging and flushing the catheter, and improves their quality of life.

关 键 词：膀胱癌 留置导尿 膀胱冲洗 冲洗疏通两用接头 

分 类 号：R473.73[医药卫生—护理学]