精确化间歇导尿的临床应用观察  

Observation on the clinical application of precision intermittent catheterization

作　　者：孙舒[1] 刘红英[2] 武沁枫 Sun Shu;Liu Hongying;Wu Qinfeng(Rehabilitation Department,Affiliated Hospital of Changchun University of Tradi-tional Chinese Medicine,Changchun 130000,China)

机构地区：[1]长春中医药大学附属医院康复科,吉林长春130000 [2]吉林大学第一医院 [3]长春中医药大学

出　　处：《国际护理学杂志》2018年第14期1990-1993,共4页international journal of nursing

摘　　要：目的 验证精确化间歇导尿的有效性和可行性.方法 选取该院2017年3月～2018年2月以神经源性膀胱作为第一诊断的60例患者,随机分为实验组和对照组,各30例,对照组给予常规间歇导尿及膀胱功能训练,观察组给予精确化间歇导尿配合膀胱功能训练,对两组患者干预效果进行观察对比.通过护士新流程的执行从患者的依从性和并发症的发生情况等来评价应用效果.结果 与对照组相比,实验组的依从性显著提高,差异有统计学意义（P〈0.05）;与对照组相比,实验组的并发症发生率降低,其中尿路感染的发生率显著降低,尿结石的发生率显著降低,差异均有统计学意义（均P〈0.05）;残余尿量低于对照组,膀胱最大排尿量高于对照组,自主排尿率优于对照组,差异有统计学意义（P〈0.05）.结论 精确化间歇导尿在国内的临床情景应用具有一定的有效性、可行性.Objective To verify the effectiveness and feasibility of accurate intermittent catheterization. Methods A total of 60 patients with neurogenic bladder as the first diagnosis from March 2017 to February 2018 in our department were selected and were randomly divided into experimental group and control group, 30 cases of each group. The control group was given regular intermittent catheterization and bladder function training, and the observation group was given precise intermittent catheterization and bladder function training. The intervention effects of the two groups were observed and compared. The application effect was evaluated by the implementation of the new nurse process from patient compliance to the occurrence of complications. Results Compared with the control group, the compliance of the experimental group was significantly improved, and the difference was statistically significant （P〈0.05）. Com- pared with the control group, the incidence of complications was reduced in the experimental group, and the incidence of urinary tract infection was significantly reduced, and the incidence of urinary calculus was significantly reduced, with statistically significant differences （P〈0. 05 ）. The residual urine volume was lower than that of the control group, the maximum urine volume of the bladder was higher than that of the control group, and the autonomic urine rate was better than that of the control group, and the difference was statistically significant （P〈0. 05）. Conclusion Accurate intermittent catheterization has certain effectiveness and feasibility in clinical application in China.

关 键 词：精确化 间歇导尿 临床应用 

分 类 号：R473.6[医药卫生—护理学]