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术后患者导尿管拔除方法的改进
引用本文:张琼. 术后患者导尿管拔除方法的改进[J]. 解放军护理杂志, 2010, 27(7): 548-549
作者姓名:张琼
作者单位:解放军305医院普外科,北京,100017
摘    要:目的改进术后患者导尿管拔除的方法,提高拔管后自主排尿的成功率,减轻患者主观不适感。方法将93例术后需拔除导尿管的患者随机分成两组,对照组(46例)采用传统的拔管方法,观察组(47例)采用改进法(计划拔除导尿管当天间歇导尿并行膀胱功能锻炼2~3次,然后夹闭尿管;当患者有尿意时,臀下放便器,抽尽尿管气囊中的液体或气体,鼓励患者自行尽力排尿)。观察两组患者的首次排尿成功率、首次排尿时间及舒适度。结果与对照组比较,观察组患者首次排尿成功率明显提高(P0.01),首次排尿时间提前(P0.01),主观不适感明显降低(P0.01)。结论采用改进的导尿管拔除方法,尿管在患者自然排尿的过程中能顺势排出,效果优于传统的尿管拔除方法。

关 键 词:导尿管  拔除  术后

Improvement in Removal Method of Urinary Catheter for Postoperative Patients
Zhang Qiong. Improvement in Removal Method of Urinary Catheter for Postoperative Patients[J]. Nursing Journal of Chinese People's Liberation Army, 2010, 27(7): 548-549
Authors:Zhang Qiong
Affiliation:Department of General Surgery;No.305 Hospital of PLA;Beijing;100017;China
Abstract:Objective To improve the removal method of urinary catheter so as to increase the successful ratio of autonomic urinating and alleviate the discomfort of the postoperative patients.Methods Ninety-three patients were randomized into the control group(n=46) treated with conventional removal method and the experimental group(n=47) treated with the improved method(Bladder function exercise was conducted for 2-3 times on the day when the urinary catheter was removed.The urinary catheter was clipped and the ballo...
Keywords:urinary catheter  removal  postoperation  
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