摘要
目的改进留置尿管患者拔除尿管的方法,以减轻拔管时的疼痛刺激和尿道黏膜的损伤。方法将86例留置导尿的患者,随机分为两组,实验组43例患者采用改良拔管法拔除尿管,对照组43例患者采用传统拔管法拔除尿管,观察患者拔除尿管时的VAS评分、拔管后第一次排尿时间、第一次排尿尿量、排尿方式、有无尿路刺激症状、是否重插尿管。结果两组患者第一次排尿量无统计学意义(P>0.05);实验组拔除尿管时的VAS评分、第一次排尿时间明显低于对照组,差异有统计学意义(P<0.05);实验组拔除尿管后第一次排尿是否需要诱导排尿与对照组相比差异有统计学意义(P<0.05);实验组拔除尿管后尿路刺激征及尿管重插率与对照组相比差异有统计学意义(P<0.05)。结论改良拔尿管法可明显减轻拔尿管时的疼痛刺激,增加患者的舒适度,缩短第一次排尿时间,尽快恢复患者自主排尿功能,减轻护士工作量。
Objective To improve the method for patients with indwelling catheter removal of catheter, in order to reduce the extubation pain stimulus and urethral mucosa injury. Methods 86 patients with indwelling catheter, were randomly divided into 2 groups, experimental group of 43 patients using the modified extubation catheter, 43 cases in the control group were treated by traditional extubation catheter, catheter removal time were observed in patients with VAS score, the first time of urination, the volume of urination, the way of urination after removing the catheter to observe if there was a urinary irritation system and whether need to insert the catheter again or not. Results Two groups of patients with first urinary output was not statistically significant （ P 〉 0. 05 ） ; experimental group the VAS score of catheter removal, first micturition time was significantly lower than the control group, the difference was statistieally significant （ P 〈 0. 05 ） ; experimental group after catheter removal first micturition was needed to induce micturition compared with control group statistical significance （ P 〈 0. 05 ） ; experimental group after removal of catheter urinary irritation symptoms and urinary catheter re-insertion was statistically significant compared with the control group （P 〈 0. 05 ） rate. Conclusions The modified method of pulling out the catheter can significantly reduce the pain with pulling out the catheter stimulation, make the patients feel better, reduce the time of first urinating, recover the patient＇s automatic micturition function as soon as possible, and the workload of nurses.
出处
《齐齐哈尔医学院学报》
2014年第4期596-598,共3页
Journal of Qiqihar Medical University
基金
广东药学院护理学院广东省特色专业建设经费资助
关键词
拔尿管
排尿
尿潴留
Out-pulling catheter method
Micturition
Urinary retention
