国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2011年
7期
1081-1083
,共3页
导尿%角度%方法%舒适
導尿%角度%方法%舒適
도뇨%각도%방법%서괄
Urinary catheterization%Angle%Method%Comfort
目的 提高男性患者导尿成功率,减轻不适.方法 将68例男性患者随机分为常规组和实验组,各34例.两组均按常规评估与消毒,选用统一型号双腔气囊尿管,常规组轻握持阴茎海绵体部,提起使之与腹壁成60°角置入尿管;实验组则从海绵体两侧固定阴茎并向上轻提拉,使阴茎与身体纵轴垂直(90°角)置入尿管.观察比较两组患者置管成功率、耐受性、血尿情况.结果 实验组患者一次性置管成功率明显高于常规组;出现异物感、尿意等不适及血尿情况明显少于常规组(P<0.05).结论 从海绵体两侧固定阴茎并向上轻提拉,使阴茎与身体纵轴成90°角置入尿管,可提高置管成功率,减少并发症,减轻患者不适.
目的 提高男性患者導尿成功率,減輕不適.方法 將68例男性患者隨機分為常規組和實驗組,各34例.兩組均按常規評估與消毒,選用統一型號雙腔氣囊尿管,常規組輕握持陰莖海綿體部,提起使之與腹壁成60°角置入尿管;實驗組則從海綿體兩側固定陰莖併嚮上輕提拉,使陰莖與身體縱軸垂直(90°角)置入尿管.觀察比較兩組患者置管成功率、耐受性、血尿情況.結果 實驗組患者一次性置管成功率明顯高于常規組;齣現異物感、尿意等不適及血尿情況明顯少于常規組(P<0.05).結論 從海綿體兩側固定陰莖併嚮上輕提拉,使陰莖與身體縱軸成90°角置入尿管,可提高置管成功率,減少併髮癥,減輕患者不適.
목적 제고남성환자도뇨성공솔,감경불괄.방법 장68례남성환자수궤분위상규조화실험조,각34례.량조균안상규평고여소독,선용통일형호쌍강기낭뇨관,상규조경악지음경해면체부,제기사지여복벽성60°각치입뇨관;실험조칙종해면체량측고정음경병향상경제랍,사음경여신체종축수직(90°각)치입뇨관.관찰비교량조환자치관성공솔、내수성、혈뇨정황.결과 실험조환자일차성치관성공솔명현고우상규조;출현이물감、뇨의등불괄급혈뇨정황명현소우상규조(P<0.05).결론 종해면체량측고정음경병향상경제랍,사음경여신체종축성90°각치입뇨관,가제고치관성공솔,감소병발증,감경환자불괄.
Objective To improve the success rate of male patients' urinary catheterization and relieve their discomfort.Methods Sixty-eight male patients were randomly divided into two groups, conventional group and experimental group, each with 34 patients. Regular evaluation and disfection were taken and uniform double channel catheters were used in both groups. In conventional group, the cavernous body was hold lightly and raised to a 60-degree angle with the abdominal wall for catheterization. In experimental group, both sides of the cavemous body were fixed and pulled to a 90 °angle with the body longitudinal axis for catheterization . The success rate, tolerance, and hematuria situation of catheterization were observed and compared between both groups.Results The one-time success rate of catheterization in experimental group was significantly higher than that in conventional group.The discomforts like foreign body sensation and urinary reflex were significantly less in experimental group than those in conventional group.Conclusions Fixing the penis from both sides of the cavernous body and pulling the penis lightly to a 90 ° angle with the body longitudinal axis can improve the success rate of urinary catheterization, reduce complications and relieve patients' discomfort.
