脊柱骨折手术患者导尿管拔出后首次排尿时间的相关影响因素  

Influencing Factors of Time to First Urination after Catheter Removal in Patients with Spinal Fracture Surgery

作　　者：彭晓晴 胡珊珊 刘婷 PENG Xiaoqing;HU Shanshan;LIU Ting(Yichun Hospital of Traditional Chinese Medicine,Jiangxi Province,Yichun 336000,China;不详)

机构地区：[1]江西省宜春市中医院,江西宜春336000

出　　处：《中国医学创新》2023年第6期82-85,共4页Medical Innovation of China

摘　　要：目的:分析脊柱骨折手术患者导尿管拔出后首次排尿时间的相关影响因素。方法:选取2020年2月-2022年3月宜春市中医院收治的73例脊柱骨折手术患者为研究对象,记录患者导尿管拔出后首次排尿时间,询问患者相关信息,并记录本次研究所需资料,经线性回归分析脊柱骨折手术患者导尿管拔出后首次排尿时间的影响因素。结果:73例脊柱骨折手术患者经评估,导尿管拔出后首次排尿时间平均(5.36±1.15)h;年龄≥60岁、尿管拔除模式为常规模式的患者导尿管拔出后首次排尿时间晚于年龄<60岁、尿管拔除模式为改良模式患者,差异均有统计学意义(P<0.05);患者平均导尿管留置时间为(4.05±1.12)d;日常生活活动能力[改良Barthel指数(MBI)]评分平均为(61.28±7.58)分;不同性别、BMI、骨折部位、受伤原因、吸烟史、负性情绪资料的患者首次排尿时间比较,差异均无统计学意义(P>0.05);经线性回归分析,结果显示,年龄≥60岁、尿管拔除模式、导尿管留置时间、日常生活活动能力评分均为脊柱骨折手术患者首次排尿时间的影响因素(P<0.05)。结论:脊柱骨折手术患者拔出导尿管后首次排尿时间受年龄、尿管拔出模式、尿管留置时间、日常生活活动能力等因素影响。Objective:To analyze the influencing factors of the time to first urination in patients with spinal fractures after removal of the catheter.Method:A total of 73 patients with spinal fractures who were admitted to Yichun Hospital of Traditional Chinese Medicine from February 2020 to March 2022 were selected as the research objects,the time of first urination after catheter removal was recorded.The relevant information of patients was asked,and the data needed in this study were recorded.The influencing factors of the first urination time after the removal of urinary catheter in patients with spinal fracture surgery were analyzed by linear regression.Result:A total of 73 patients with spinal fracture were evaluated.The average time of first urination after the catheter was pulled out was(5.36±1.15)h.The first urination time of patients with age≥60 years old and the catheter removal mode as the conventional mode were later than those of patients with age<60 years old and the catheter removal mode as the modified mode,the differences were statistically significant(P<0.05).The average indwelling time of catheter was(4.05±1.12)days.The average score of activity of daily living[modified Barthel index(MBI)]was(61.28±7.58)points.There were no statistically significant differences in the first urination time of patients with different gender,BMI,fracture site,injury reason,smoking history and negative emotional data(P>0.05).Through linear regression analysis,the results showed that age≥60 years old,catheter removal mode,catheter retention time and activity of daily living score were all the influencing factors of the first urination time of patients with spinal fracture surgery(P<0.05).Conclusion:The time of first urination in patients with spinal fractures after catheter removal is affected by factors such as age,catheter removal mode,catheter indwelling time and daily living ability.

关 键 词：脊柱骨折 首次排尿时间 导尿管留置时间 年龄 尿管拔除模式 日常生活活动能力 

分 类 号：R473.6[医药卫生—护理学]