《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2019, Vol. 25 ›› Issue (6): 729-733.doi: 10.3969/j.issn.1006-9771.2019.06.020

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Clean Intermittent Catheterization after Sigmoid Augmentation Cystoplasty and Abdominal Sigmoidostomy: A Case Report

HE Ying1, GAO Li-juan2, LI Xiu-hua2   

  1. 1.Clinical Nursing Teaching and Research Section, The Second XiangYa Hospital of Central South University, Changsha, Hunan, 410011, China;
    2.Urology Department, Beijng Bo’ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:2018-08-22 Revised:2018-12-04 Online:2019-06-25
  • Contact: HE Ying, E-mail: heying0117@csu.edu.cn

Abstract: Objective To summarize the nursing care of a patient with clean intermittent catheterization after sigmoid augmentation cystoplasty and abdominal sigmoidostomy for the treatment of neurogenic bladder.Methods On October 16, 2017, one patient with neurogenic bladder was admitted to Beijing Bo'ai Hospital. Psychological instructions were given to the patient after surgery. Catheter of appropriate type and material was selected, and then the patient was instructed to implement correct and regular clean intermittent catheterization procedures. At the same time, nursing care of abdominal sigmoidostomy was carried out. In order to prevent tube blocking, bladder irrigation was implemented at regular intervals. Follow-up visit was scheduled.Results After four-month follow-up, the patient completed the whole procedures successfully, and its renal function was protected without severe urinary tract infection, also the patient was with good social adaptation.Conclusion Comprehensive nursing care is needed in patients after sigmoid augmentation cystoplasty and abdominal sigmoidostomy. Correct and regular clean intermittent catheterization is critical. Psychological nursing, care of abdominal sigmoidostomy and tube blocking prevention should not be neglected, also long-term follow-up is of great significance for the outcome.

Key words: neurogenic bladder, sigmoid augmentation cystoplasty, abdominal sigmoidostomy, clean intermittent catheterization

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