[1]施丽莎,王 怡,黄 静.隧道式尿管外固定法与系带式尿管外固定法的比较[J].医学信息,2020,33(11):175-178,181.[doi:10.3969/j.issn.1006-1959.2020.11.058]
　SHI Li-sha,WANG Yi,HUANG Jing.Comparison Between External Fixation Method of Tunnel Urinary Catheter and External Fixation Method of Lace-up Urinary Catheter[J].Medical Information,2020,33(11):175-178,181.[doi:10.3969/j.issn.1006-1959.2020.11.058]
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隧道式尿管外固定法与系带式尿管外固定法的比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年11期
页码:
175-178,181
栏目:
诊疗技术
出版日期:
2020-06-01

文章信息/Info

Title:
Comparison Between External Fixation Method of Tunnel Urinary Catheter and External Fixation Method of Lace-up Urinary Catheter
文章编号:
1006-1959（2020）11-0175-05
作者:
施丽莎; 王 怡; 黄 静
（1.首都医科大学护理学院，北京 100069；2.首都医科大学附属北京朝阳医院泌尿外科，北京 100020）
Author(s):
SHI Li-sha; WANG Yi; HUANG Jing
(1.School of Nursing,Capital Medical University,Beijing 100069,China;2.Department of Urology,Chaoyang Hospital,Capital Medical University,Beijing 100020,China)
关键词:
隧道式尿管外固定法; 系带式尿管外固定法; 尿管移位
Keywords:
Tunnel external fixation method; Lacing external fixation method; Urinary tube displacement
分类号:
R472.9+2
DOI:
10.3969/j.issn.1006-1959.2020.11.058
文献标志码:
A
摘要:
目的 探讨隧道式尿管外固定法与系带式尿管外固定法在泌尿外科手术后患者的安全性、舒适度及护士操作体验的差异。方法 对2017年3~5月我院收治的择期手术患者48例作为研究对象。采用随机数字表法分为隧道式组23例和系带式组25例。比较两组尿管移位、漏尿、皮肤不良反应、膀胱刺激征发生情况、初次为患者粘贴固定装置、初次粘贴24、48、72 h内、拔管前患者舒适程度、不同装置制作的时间及操作的省力程度。结果 系带式组装置更换频率为40.00%，尿管发生正向移位的比率为8.00%，初次粘贴48 h内患者使用舒适度为0（0，1），分别低于隧道式组的73.91%、39.13%、0（0，0），差异均有统计学意义（P＜0.05）；系带式组装置制作时间为（0.48±0.15）min，长于隧道式组的（0.37±0.12）min，差异有统计学意义（P＜0.05）；系带式组尿管外固定装置省力程度低于隧道式组，差异有统计学意义（P＜0.05）。结论 隧道式适用于留置尿管时间少于48 h、非经尿道手术者，使用更省时省力；系带式有助于患者下床活动，固定更加安全，适用于经尿道手术或留置尿管时间较长者。
Abstract:
Objective To explore the difference between the safety and comfort of the tunnel urethral external fixation method and the lace-up urethral external fixation method for patients after urological surgery.Methods A total of 48 patients undergoing elective surgery in our hospital from March to May 2017 were selected as the research object. Using random number table method, it was divided into 23 cases in tunnel group and 25 cases in lace group. Compare the two groups of urinary catheter displacement, urine leakage, skin adverse reactions, bladder irritation signs, the first time to attach the fixation device to the patient, the first time within 24, 48, 72 h, the patient’s comfort level before extubation, and the time of making different devices And the degree of labor-saving operation.Results The replacement frequency of the lace-up device was 40.00%, the rate of positive displacement of the urinary catheter was 8.00%, and the patient’s comfort level within 48 h after the initial application was 0(0,1), which was lower than 73.91% of the tunnel-type , 39.13%, 0 (0, 0), the difference was statistically significant (P＜0.05); the production time of the device of the lace-up group is (0.48±0.15) min,longer than the tunnel group (0.37±0.12) min, the difference was statistically significant(P＜0.05); the effort of the external ureteral fixation device of the lace-up group was lower than that of the tunnel group, the difference was statistically significant(P＜0.05).Conclusion The tunnel type is suitable for patients with indwelling urinary catheter for less than 48 h and non-transurethral surgery, which saves time and effort; the lace-up type helps patients get out of bed and the fixation is safer, suitable for transurethral surgery or indwelling urinary catheter Longer time.

参考文献/References:

[1]余群飞,沈志坤,王惠琴,等.缩短导尿管留置时间的相关研究与展望[J].护理学报,2014(17):23-26.[2]曾芳芳.导尿和留置气囊导尿管的护理进展[J].护理实践与研究,2008,5(7):69-70.[3]侯宪红,郑珊红,钱继杭,等.气囊导尿管外固定与尿路感染关系的探讨[J].中国实用护理杂志,2007,23(9):53-54.[4]杨艳,张婷.导尿管不同固定方法对尿道并发症影响与研究进展[J].上海护理,2013,13(1):61-64.[5]何素娥,赵洁,郭佳华,等.隧道式尿管外固定法在普外科术后患者中的应用效果[J].中华现代护理杂志,2015(34):4191-4193.[6]朱丽萍,任玉娇,朱锋,等.介绍一种“8”字形外固定尿管方法[J].中华现代护理杂志,2016,22(3):326.[7]胡明明,王清,陈瑶,等.留置导尿管不同外固定法对导管相关尿路感染的影响[J].护理研究,2013,27(10):912-913.[8]张柳燕,丁妍,余健,等.改良留置导尿管外固定的方法[J].广东医学,2016,37(z1):267-268.[9]蔡文兰.导尿管走向对女性留置导尿管患者尿路感染的影响[J].齐鲁护理杂志,2014(6):120-121.[10]李献敏.男性导尿引起膀胱刺激征的相关因素及护理[J].广州医学院学报,2014(3):134-135,148.[11]彭秀晴,郭明珂,孙福振,等.肾癌术后择时生物治疗对患者舒适度的影响[J].中华护理杂志,2010,45(7):618-619.[12]李飞,宋美璇,李显蓉.长期留置导尿患者成功拔除导尿管的最佳指南意见[J].护理学报,2018,25(5):1-5.[13]Uyeturk U,Gucuk A,Kemahli E,et al.Factors Influencing the Duration of Urine Leakage following Percutaneous Nephrolithotomy[J].Advances in Urology,2014(2014):105709. [14]Akman T,Binbay M,Yuruk E,et al.Tubeless procedure is most important factor in reducing length of hospitalization after percutaneous nephrolithotomy: results of univariable and multivariable models[J].Urology,2011,77(2):299-304. [15]韩桂英.高危前列腺增生患者等离子剜除术围手术期护理体会[J].护士进修杂志,2015,30(1):84-85.[16]江洪澜,孙玲,翟秀宇,等.TURP与HOLEP对前列腺增生患者术后膀胱冲洗和留置尿管时间的影响[J].中国老年学杂,2013,33(17):4294-4295.[17]陶俊.经尿道前列腺电切术后膀胱痉挛的护理干预[J].基层医学论坛,2010,14(33):1003-1004.

更新日期/Last Update: 1900-01-01