导尿失败患者相关影响因素及护理策略分析  

Analysis of related influencing factors and nursing strategies for patients with failed catheterization

作　　者：杨丽贞 彭忠艳 吴小红 YANG Lizhen;PENG Zhongyan;WU Xiaohong(Department of Urology,Bao'an District Central Hospital,Shenzhen 518102,China)

机构地区：[1]深圳市宝安区中心医院泌尿外科,广东深圳518102

出　　处：《医药高职教育与现代护理》2022年第3期246-249,共4页Medical Higher Vocational Education and Modern Nursing

摘　　要：目的研究导尿失败患者相关影响因素及分析护理策略,为提升临床导尿术成功率提供参考依据。方法将2019年1月至2021年1月深圳宝安区中心医院接受导尿术干预的102例患者纳入研究。所有受试者均由护理人员实施并完成导尿术,观察导尿失败情况;通过单因素、多因素Logistic回归分析明确导尿失败的影响因素。结果102例患者导尿失败率为10.78%。经单因素及多因素Logistic回归分析:患者前列腺增生症、尿道狭窄、包茎、体位不配合、BMI>28 kg/m^(2)及护理人员局部解剖不熟悉、操作错误、物品准备不充分均是导尿失败的独立危险因素(均OR>1,P<0.05)。11例导尿失败患者出现疼痛占比90.91%;肉眼血尿占比18.18%;包皮水肿以及留置三腔尿管膀胱冲洗各占比9.09%。结论导尿失败患者的护理相关因素包括前列腺增生症、尿道狭窄、包茎、体位不配合、BMI>28 kg/m^(2)及护理人员局部解剖不熟悉、操作错误、物品准备不充分。临床实际工作中应以上述证据为指导开展循证护理,以达到提高导尿成功率的目的。Objective To study and analyze the related influencing factors and nursing strategies of patients with urinary catheterization failure,aiming to provide reference for the improvement of the success rate of clinical catheterization.Methods From January 2019 to January 2021,102 patients who received hospital-based catheterization intervention were included in the study.All subjects were administered and completed catheterization by nursing staff.The failure of catheterization was observed,and the influencing factors of catheter failure were determined by univariate and multivariate Logistic regression analysis.Results The failure rate of urethral catheterization in 102 patients was 10.78%,and the single factor and Multivariate Logistic regression analysis showed that patients with prostatic hyperplasia,urethral stricture,physmosis,improper body position,BMI>28 kg/m^(2),unfamiliar local anatomy of nursing staff,incorrect operation,and inadequate preparation of articles were all independent risk factors for catheterization failure(OR>1,P<0.05).Of the 11 patients with failed catheterization,90.91%had pain.Gross hematuria accounting for 18.18%;prepuce edema and indwelling three-cavity catheter with bladder irrigation,accounting for 9.09%.Conclusions The nursing related factors of patients with failure of catheterization include prostatic hyperplasia,urethral stricture,phimosis,uncoordination of body position,BMI>28 kg/m^(2),unfamiliarity of local anatomy of nursing staff,error of operation,inadequate preparation of articles,etc.In clinical practice,evidence-based nursing should be carried out under the guidance of the above evidence in order to improve the success rate of catheterization.

关 键 词：导尿术 失败 循证护理 原因分析 

分 类 号：R47[医药卫生—护理学]