改良型四腔导尿管在膀胱冲洗中的优势：一项前瞻性随机对照研究

摘要/Abstract

摘要： 目的探讨改良型四腔导尿管在膀胱冲洗中的临床应用价值。方法选取2021年 2月—2022年1月在德阳市人民医院住院治疗的64例膀胱填塞并需要膀胱冲洗的患者为研究对象,根据随机数表法分为对照组及试验组,对照组33例,试验组31例。对照组安置普通三腔尿管,试验组安置改良型四腔导尿管,比较两组患者住院天数、堵管手工冲洗时间、膀胱冲洗时间、留置尿管时间、膀胱痉挛发生次数、尿路感染情况、舒适度、患者和护士满意度。结果试验组患者住院天数、堵管时手工冲洗时间、膀胱冲洗时间、留置尿管时间均明显短于对照组,留置尿管期间膀胱发生痉挛的次数显著低于对照组,差异有统计学意义（P<0.05）。试验组停冲洗后尿液细菌培养阳性率及停尿管后尿液细菌培养阳性率明显低于对照组,差异有统计学意义（P<0.05）。试验组患者整体舒适度评分、患者满意度和护士满意度均明显高于对照组,差异有统计学意义（P<0.05）。结论在膀胱填塞需膀胱冲洗患者中,与普通三腔导尿管相比,改良型四腔导尿管能缩短患者住院时间,减少护士堵管手工冲洗时间,减少膀胱冲洗时间,缩短留置尿管天数,减少膀胱痉挛发生次数,可降低尿路感染发生率,增加患者的舒适度,提高患者及护士满意度,具有重要的临床意义,值得应用。

关键词: 膀胱冲洗, 改良型四腔导尿管, 护理创新

Abstract: Objective To explore the clinical value of modified catheter in bladder irrigation. Methods From February 2021 to January 2022, 64 patients with bladder tamponade and bladder irrigation who were hospitalized in the department of urology in a tertiary hospital in Deyang City were randomly divided into control group（33 cases） and experimental group（31 cases）. The control group was placed with a common three-chamber catheter, and the test group was placed with a modified catheter. The differences between the two groups were compared in terms of length of hospital stay, manual washing time, bladder washing time, indwelling catheter time, the number of bladder spasms, the number of urinary tract infections, comfort, and the satisfaction of patients and nurses. Results Compared with the control group, the number of hospitalization, manual washing time (points), bladder washing time (days), and time (days) were significantly lower than the control group (P <0.05). The number of bladder spasm during indwelling catheter was significantly lower (P<0.05). The prevalence of urinary tract infection and urine bacteria after irrigation and urine culture was significantly better than the control group (P<0.05). The overall comfort, patient satisfaction and satisfaction with nurses were significantly increased (P<0.05). Conclusion Compared with the common three-chamber catheter, the modified catheter can shorten the total hospitalization time of patients, reduce the manual washing time of nurses, reduce the bladder washing time, shorten the days of indwelling catheter, reduce the frequency of bladder spasm, reduce urinary tract infection, increase the comfort of patients, and improve the satisfaction of patients and nurses. It has important clinical significance and is worth promoting.

Key words: bladder irrigation, modified catheter, nursing innovation

中图分类号:

R473.6

向军莲, 李杨, 刘佳, 刘玲, 王睿, 徐坪, 刘芳, 戎小燕, 陈晓宇, 黄玲, 唐良友, 陈勇博. 改良型四腔导尿管在膀胱冲洗中的优势：一项前瞻性随机对照研究[J]. 中华养生保健, 2023, 41(14): 38-41.

XING Jun-lian, LI Yang, LIU Jia, LIU Ling, WANG Rui, XU Ping, LIU Fang, RONG Xiao-yan, CHENG Xiao-yu, HUANG Ling, TANG Liang-you, CHEN Yong-bo. Advantages of a Modified Four-lumen Urinary Catheter in Bladder Irrigation: a Prospective Randomized Controlled Study[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(14): 38-41.

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