国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2011年
8期
1242-1244
,共3页
梁秀兰%邓淑芬%谭娇燕%冼秋霞
樑秀蘭%鄧淑芬%譚嬌燕%冼鞦霞
량수란%산숙분%담교연%승추하
护理%男性%留置尿管%舒适度%并发症
護理%男性%留置尿管%舒適度%併髮癥
호리%남성%류치뇨관%서괄도%병발증
Nursing%Male%Indwelling catheter%Degree of comfort%Complications
目的 探讨护理干预对男性留置尿管患者的舒适度以及并发症的影响.方法 收集2009年3月至2010年7月我科室留置尿管的102例男性患者,将其分为实验组51例和对照组51例.实验组将尿管固定在患者下腹部,以便于观察尿的颜色和尿量,导尿后每天清洁尿道口后予氯霉素眼水滴尿道口.注意插管操作,指导患者提肛肌等功能锻炼.对照组则进行常规无菌导尿护理.结果 实验组发生尿路感染伴发热2例,拔管后尿道口粘连1例,膀胱刺激征6例.感到重度不适1例(2.0%),中度不适11例(21.6%),轻度不适19例(37.3%),无明显不适20例(39.2%).实验组患者的尿路感染、尿道口粘连、膀胱刺激征等并发症发病率显著降低,舒适度明显较高.结论 护理干预对男性留置尿管患者的舒适度有显著改善作用,可以减少并发症的发生,提高生活质量,值得临床推广.
目的 探討護理榦預對男性留置尿管患者的舒適度以及併髮癥的影響.方法 收集2009年3月至2010年7月我科室留置尿管的102例男性患者,將其分為實驗組51例和對照組51例.實驗組將尿管固定在患者下腹部,以便于觀察尿的顏色和尿量,導尿後每天清潔尿道口後予氯黴素眼水滴尿道口.註意插管操作,指導患者提肛肌等功能鍛煉.對照組則進行常規無菌導尿護理.結果 實驗組髮生尿路感染伴髮熱2例,拔管後尿道口粘連1例,膀胱刺激徵6例.感到重度不適1例(2.0%),中度不適11例(21.6%),輕度不適19例(37.3%),無明顯不適20例(39.2%).實驗組患者的尿路感染、尿道口粘連、膀胱刺激徵等併髮癥髮病率顯著降低,舒適度明顯較高.結論 護理榦預對男性留置尿管患者的舒適度有顯著改善作用,可以減少併髮癥的髮生,提高生活質量,值得臨床推廣.
목적 탐토호리간예대남성류치뇨관환자적서괄도이급병발증적영향.방법 수집2009년3월지2010년7월아과실류치뇨관적102례남성환자,장기분위실험조51례화대조조51례.실험조장뇨관고정재환자하복부,이편우관찰뇨적안색화뇨량,도뇨후매천청길뇨도구후여록매소안수적뇨도구.주의삽관조작,지도환자제항기등공능단련.대조조칙진행상규무균도뇨호리.결과 실험조발생뇨로감염반발열2례,발관후뇨도구점련1례,방광자격정6례.감도중도불괄1례(2.0%),중도불괄11례(21.6%),경도불괄19례(37.3%),무명현불괄20례(39.2%).실험조환자적뇨로감염、뇨도구점련、방광자격정등병발증발병솔현저강저,서괄도명현교고.결론 호리간예대남성류치뇨관환자적서괄도유현저개선작용,가이감소병발증적발생,제고생활질량,치득림상추엄.
Objective To investigate the infuence of nursing intervention on the comfort degree and complication of male patients with indwelling catheter.Methods Between March 2009 and July 2010,102 male patients detaining catheters in our department were divided into two groups:experimental group and control group,51 cases respectively.In experimental group,catheter was fixed to the lower abdomen for easy to observe the amount and color of urine.The urethral orifice was cleaned and then disinfected with chloramphenicol drops daily after catheterization.Functional training was instructed to patients.In control group,patients were cared with conventional way.Results In experimental group,2 cases with urinary tract infection combined with fever,1 case with meatus urinarius adhesions after removing catheter,6 cases with bladder irritation.1 case of patients felt severe discomfort(2.0%),11 cases with moderate discomfort(21.6%),19 cases with mild discomfort(37.3%),20 cases with no obvious discomfort(39.2%).Complications of experimental group including urinary tract infection,meatus urinarius adhesions,bladder irritation,etc were decreased significantly,degree of comfort were improved evidently.Conclusions Nursing intervention could decrease morbidities and improve degree of comfort and the quality of life for patients in peri-hospitalization,which is worthy of promotion.