CAJ | 학술논문

目的：探讨自行设计的留置导尿冲洗疏通两用接头在膀胱癌晚期患者中的应用效果。方法采用方便抽样选取41例老年膀胱癌持续膀胱冲洗的患者，随机分为观察组(21例)和对照组(20例)。观察组采用自制的冲洗疏通两用接头进行尿管堵塞处理，对照组采用常规膀胱冲洗方法进行冲洗。比较两组操作时间、操作者及患者满意度、膀胱冲洗后尿管接头菌落培养情况。结果观察组护士操作时间明显少于对照组，操作者及患者满意度较对照组高，观察组膀胱冲洗后尿管接头菌落增长数也低于对照组，差异均有统计学意义(P<0.05)。结论采用冲洗疏通两用接头，有利于膀胱癌晚期患者膀胱冲洗过程中疏通尿管，降低感染几率。
목적：탐토자행설계적류치도뇨충세소통량용접두재방광암만기환자중적응용효과。방법채용방편추양선취41례노년방광암지속방광충세적환자，수궤분위관찰조(21례)화대조조(20례)。관찰조채용자제적충세소통량용접두진행뇨관도새처리，대조조채용상규방광충세방법진행충세。비교량조조작시간、조작자급환자만의도、방광충세후뇨관접두균락배양정황。결과관찰조호사조작시간명현소우대조조，조작자급환자만의도교대조조고，관찰조방광충세후뇨관접두균락증장수야저우대조조，차이균유통계학의의(P<0.05)。결론채용충세소통량용접두，유리우방광암만기환자방광충세과정중소통뇨관，강저감염궤솔。
Objective To investigate the application of the triple bypass used for bladder irrigation by indwelling catheter in patients with terminal stage of bladder cancer. Methods A convenience sampling was used to select 41 elderly bladder cancer patients with bladder irrigation, who were averagely divided into experimental group and control group. The patients of experimental group used the triple bypass to dredge the catheter, and the patients of control group utilized conventional bladder irrigation methods. Compared the operating time, nurses and patients′ satisfaction, infection risk between two groups. Results The nurse′s operation time in the experimental group was apparently lower than that of the control group, and the operator and patient′s satisfaction were higher than those of the control group, but the growing number of bacterial colony in the experimental group was lower than that of the control group (P<0. 05). Conclusions The triple bypass is beneficial to patients with terminal stages of bladder cancer for dredging and flushing the catheter, and improves their quality of life.