应用改良留置尿管拔除法的效果观察

目的:探讨改良留置导尿管拔除法的应用效果。方法:将80例留置导尿管的普外科手术病人随机分为对照组和实验组各40例,对照组在病人有尿意后护士用无菌注射器将尿管气囊的水全部抽吸干净,随后将尿管拔出;实验组在病人有尿意后,护士首先用无菌注射器将尿管气囊的水全部抽出,随后用无菌注射器向水囊回注0.4ml水,最后再将尿管拔出。比较两组病人拔除尿管时的舒适度和拔除尿管后首次排尿的异常症状。结果:两组病人在拔除尿管时的舒适度及在拔除尿管后首次排尿时出现的异常症状,差异均有统计学意义(P0.001)。结论:在普外科术后留置有尿管的病人中,应用改良尿管拔除法,可以增加患者拔除尿管时的舒适度,减少尿管拔除后首次排尿时出现的异常症状。

Observation of the practice effect of the improved pull-out method for indwelling urinary catheter

Objective：To explore the practice effect of the improved pull-out method for indwelling urinary catheter.Methods：80 postoperative general surgery patients with indwelling catheter were randomly divided into two groups,40 patients in cach group. In the control group nurse suck all the water in the cather water ballon with sterile syrinye ,then pull-out the urinary catheter when the patients feeling urination.In test group group nurse suke all the water in the water ballon,then put it out after reinjection 0.4 ml water into the water ballon with storile syrinye.The comfort and negtive symptoms at first urination were compared between patients in the two groups.when the urinary catheter were removed.Results：The difference of the comfort and abnormal synpdons at first urination between two group patients were statistically significant （P〈0.001）.Conclusion：The improved pull-out method for indwelling urinary catheter will in crease the comfort and decrease the negtive symptoms of the postoperative general suryery patients.