废弃呼吸气囊在男童麻醉复苏期排尿护理中的应用  

Application of disused breathing bag in nursing care of urination among boys in the recovery period after general anesthesia

作　　者：谷昌叶 尤月同 GU Changye;YOU Yuetong(Department of Anesthesiology,The First Affiliated Hospital of University of Science and Technology of China,Hefei,Anhui,230001)

机构地区：[1]中国科学技术大学附属第一医院安徽省立医院麻醉科,安徽合肥230001

出　　处：《中西医结合护理（中英文）》2018年第7期105-107,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨废弃呼吸气囊在男童麻醉复苏期排尿护理中的应用效果。方法选取在气管插管或喉罩全麻下行各种手术的3~11岁、未留置导尿管的男童380例,按照随机数字表将其分为观察组和对照组,观察组198例,对照组182例。对照组患儿主诉有尿意后由护理人员或家长抱起把尿,或协助其床边站立排尿;观察组护理人员主动询问患儿有无尿意,鼓励床上排尿,用该患儿麻醉所用的一次性乳胶呼吸气囊套住阴茎,接取尿液。结果观察组患儿在麻醉复苏室(PACU)留置期间发生尿床、哭闹、伤口敷料污染、静脉留置针脱落的比例明显低于对照组,差异有统计学意义(P<0.05)。结论利用呼吸气囊接取尿液属于废物再利用,并且能够降低患儿在PACU意外事件的发生,减轻护理工作量,提高患儿舒适度。Objective To explore the application of disused breathing bag in nursing care of urination among boys in the recovery period after general anesthesia. Methods Totally 380 children aged 3-11 years old w ere involved and randomly divided into the observation group（ n =198） and the control group（ n = 182） in this study. They underw ent surgeries under intratracheal anesthesia or laryngeal mask anesthesia,but w ithout catheterization. The children w ere picked by the nursing staff or their parents to urinate after they had micturition desire in control group. In observation group,the nursing staff asked w hether they had micturition desire or not initiatively,and encouraged them to take urination in the bed. At the same time,a disused breathing bag w as used to cover the penis for urine collection. Results The proportion of children w ith bed-w etting,crying,contaminated w ounds and intravenous indw elling needle w ithdraw al in observation group w ere significantly low er than those in the control group,w ith a significant difference（ P 〈0. 05）.Conclusion The use of disused breathing bag to collect urine,w hich can reduce the occurrence of accidents in PACU,reduce the nursing w orkload,and improve the comfort level of children.

关 键 词：呼吸气囊 男童 麻醉复苏期 排尿护理 

分 类 号：R473.72[医药卫生—护理学]