隧道式尿管外固定法与系带式尿管外固定法的比较  

Comparison Between External Fixation Method of Tunnel Urinary Catheter and External Fixation Method of Lace-up Urinary Catheter

作　　者：施丽莎 王怡 黄静[2] SHI Li-sha;WANG Yi;HUANG Jing(School of Nursing,Capital Medical University,Beijing 100069,China;Department of Urology,Chaoyang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学护理学院,北京100069 [2]首都医科大学附属北京朝阳医院泌尿外科,北京100020

出　　处：《医学信息》2020年第11期175-178,181,共5页Journal of Medical Information

摘　　要：目的探讨隧道式尿管外固定法与系带式尿管外固定法在泌尿外科手术后患者的安全性、舒适度及护士操作体验的差异。方法对2017年3~5月我院收治的择期手术患者48例作为研究对象。采用随机数字表法分为隧道式组23例和系带式组25例。比较两组尿管移位、漏尿、皮肤不良反应、膀胱刺激征发生情况、初次为患者粘贴固定装置、初次粘贴24、48、72 h内、拔管前患者舒适程度、不同装置制作的时间及操作的省力程度。结果系带式组装置更换频率为40.00%,尿管发生正向移位的比率为8.00%,初次粘贴48 h内患者使用舒适度为0(0,1),分别低于隧道式组的73.91%、39.13%、0(0,0),差异均有统计学意义(P<0.05);系带式组装置制作时间为(0.48±0.15)min,长于隧道式组的(0.37±0.12)min,差异有统计学意义(P<0.05);系带式组尿管外固定装置省力程度低于隧道式组,差异有统计学意义(P<0.05)。结论隧道式适用于留置尿管时间少于48 h、非经尿道手术者,使用更省时省力;系带式有助于患者下床活动,固定更加安全,适用于经尿道手术或留置尿管时间较长者。Objective To explore the difference between the safety and comfort of the tunnel urethral external fixation method and the lace-up urethral external fixation method for patients after urological surgery.Methods A total of 48 patients undergoing elective surgery in our hospital from March to May 2017 were selected as the research object.Using random number table method,it was divided into 23 cases in tunnel group and 25 cases in lace group.Compare the two groups of urinary catheter displacement,urine leakage,skin adverse reactions,bladder irritation signs,the first time to attach the fixation device to the patient,the first time within 24,48,72 h,the patient's comfort level before extubation,and the time of making different devices And the degree of labor-saving operation.Results The replacement frequency of the lace-up device was 40.00%,the rate of positive displacement of the urinary catheter was 8.00%,and the patient's comfort level within 48 h after the initial application was 0(0,1),which was lower than 73.91%of the tunnel-type,39.13%,0(0,0),the difference was statistically significant(P<0.05);the production time of the device of the lace-up group is(0.48±0.15)min,longer than the tunnel group(0.37±0.12)min,the difference was statistically significant(P<0.05);the effort of the external ureteral fixation device of the lace-up group was lower than that of the tunnel group,the difference was statistically significant(P<0.05).Conclusion The tunnel type is suitable for patients with indwelling urinary catheter for less than 48 h and non-transurethral surgery,which saves time and effort;the lace-up type helps patients get out of bed and the fixation is safer,suitable for transurethral surgery or indwelling urinary catheter Longer time.

关 键 词：隧道式尿管外固定法 系带式尿管外固定法 尿管移位 

分 类 号：R472.92[医药卫生—护理学]