《中国康复理论与实践》

《中国康复理论与实践》

• 康复护理 • 上一篇    下一篇

无接触技术在自我清洁间歇导尿中的应用①

邓水娟1a，周君桂1a，刘瑜1a，何任红1a，钱大棣1b   

  1. 1. 南方医科大学南方医院，a. 康复理疗科；b. 神经外科，广东广州市510515。
  • 出版日期:2016-09-25 发布日期:2016-12-05

Application of Non-contact Technology in Clean Intermittent Self-catheterization

DENG Shui-juan1a, ZHOU Jun-gui1a, LIU Yu1a, HE Ren-hong1a, QIAN Da-di1b   

  1. 1. a. Department of Rehabilitation; b. Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China
  • Published:2016-09-25 Online:2016-12-05

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摘要： 目的探讨神经源性膀胱患者在自我清洁间歇导尿时使用的最佳导尿方法。方法2014 年12 月~2015 年12 月，60 例神经源性膀胱患者等分成对照组和观察组，对照组使用传统的自我清洁间歇导尿法，观察组使用无接触式间歇导尿方法，比较两组患者掌握导尿方法的学习次数、导尿管污染及尿路感染的发生率。结果与对照组相比，观察组掌握间歇导尿方法学习次数更少(Z=-4.400, P<0.001)，尿管污染率(χ2=5.880, P=0.015)和尿路感染发生率(χ2=4.043, P=0.044)均低于对照组。结论无接触式清洁间歇导尿法更有利于神经源性膀胱患者的尿路管理。

关键词: 神经源性膀胱, 无接触式导尿, 自我间歇导尿, 尿路感染

Abstract: Objective To explore the best methods of catheterization in patients with neurogenic bladder using clean intermittent self-catheterization. Methods From December, 2014 to December, 2015, sixty patients with neurogenic bladder were equally divided into observation group who were taught the non-contact clean intermittent self-catheterization, and control group who were taught routine clean intermittent self-catheterization. Their materials, times to learn, and the incidence of catheter contamination and urinary tract infection were compared. Results The observation group mastered the catheterization in fewer times of learning than the control group (Z=- 4.400, P< 0.001). The incidence of catheter contamination (χ2=5.880, P=0.015) and urinary tract infection (χ2=4.043, P=0.044) were less in the observation group than in the control group. Conclusion Non-contact clean intermittent catheterization is beneficial to manage neurogenic bladder.

Key words: neurogenic bladder, non-contact catheterization, intermittent self-catheterization, urinary tract infection