摘要
目的探讨永久性膀胱造瘘术后患者的膀胱造瘘管更换技巧及后期管理经验,总结并建立该类患者膀胱造瘘管后期更换及膀胱造瘘管后期管理的标准化方案。方法通过对慈溪市人民医院承担的市级课题《枸橼酸钾预防膀胱造瘘管结石的临床研究》中42例永久性膀胱造瘘患者膀胱造瘘管更换以及后期健康教育进行规范化管理,总结并分析其中的经验和教训,建立标准化实施方案。结果 42例患者更换膀胱造瘘管顺利,通过口头和书面健康教育,患者及家属完全掌握了膀胱造瘘管的家庭管理技巧,所有患者在课题实施期间,无膀胱造瘘管脱出等严重并发症发生。结论对于永久性膀胱造瘘患者,对膀胱造瘘管更换方法及后期健康教育进行标准化,可以明显减少膀胱造瘘管相关并发症,提高该类患者的生活质量。
Objective To study the skill of replacing bladder fistulae and later management experience of patients with permanent cystostomy,and build a standardized scheme. Methods The clinical data about the fistulae replacement and later management of 42 patients with permanent cystostomy were summarized retrospectively, and the experience and lessons were taken to build a standardized scheme. All materials were from the project ＂clinical study of using potassium citrate to prevent calculus on cystostomy catheter＂. Results The bladder fistulae in all patients were replaced successfully. Through the oral and papers training, the patients and their families grasped the skills of self-nurse and looking after the bladder fistulae. No severe complication such as bladder fistulae drop occurred during the project. Conclusion Building a standardized scheme of fistulae replacing skill and later management education can decrease the complications and increase life quality of patients with permanent cystostomy.
出处
《中华全科医学》
2012年第9期1478-1479,共2页
Chinese Journal of General Practice
关键词
膀胱造瘘
标准化
Cystostomy
Standardization
