Effects of timed clamping catheter by urinary dynamic monitor on bladder function rehabilitation of patients with short-term indwelling catheter
10.3760/cma.j.cn115682-20191209-04509
- VernacularTitle:尿动力监控仪定时夹闭尿管对短期留置尿管患者膀胱功能恢复的影响
- Author:
Xuehuan LIU
1
;
Weiwei SHAO
;
Yong ZHANG
Author Information
1. 首都医科大学附属北京天坛医院泌尿外科 100070
- Keywords:
Drainage;
Indwelling catheter;
Clamping catheter;
Bladder functional training;
Urinary dynamic monitor
- From:
Chinese Journal of Modern Nursing
2020;26(22):3005-3009
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the recovery of bladder function in patients with short-term indwelling catheter after urinary dynamic monitor simulated the physiological function of normal filling and emptying of bladder.Methods:From May 2019 to July 2019, a total of 60 patients with short-term indwelling catheters after operation in Department of Urinary Surgery in Beijing Tiantan Hospital of Capital Medical University were selected. According to the method of random block, they were divided into the observation group and the control group, with 30 cases in each group. After the operation, urinary catheters of patients were connected to urinary dynamic monitors by nurses. The control group adopted the smooth drainage mode to continuously drain urine while the observation group adopted the timed mode to automatically open the urine tube once every 3 hours for 5 min each time. The time for first intention to urinate after catheter removal, the first urination time, the first urination volume, hospitalization expense, date of indwelling catheter, date of hospitalization, incidence of bladder spasm, incidence of symptomatic urinary tract infections, incidence of autonomic hyperreflexia and reintubation rate were compared between two groups to evaluate effects of clamping catheter on bladder function.Results:In the control group, time for first intention to urinate was (104.00±29.88) min, the first urination time was (135.90±29.76) min and the first urination volume was (250.17±60.18) ml. In the observation group, time for first intention to urinate was (122.10±37.18) min, the first urination time was (160.33±36.11) min and the first urination volume was (327.17±88.59) ml. The time for first intention to urinate and first urination time in the observation group were longer than those in the control group while the first urination volume was greater than that in the control group, and the differences were statistically significant ( P<0.05) . There was no significant difference between the two groups in hospitalization expense, date of indwelling catheter, date of hospitalization, incidence of bladder spasm and other indexes ( P>0.05) . No symptomatic urinary tract infection, autonomic hyperreflexia or reintubation due to urinary retention occurred in either group. Conclusions:It was effective and safe for maintaining the bladder function using urinary dynamic monitor to simulate filling and emptying of bladder during the short-term postoperative indwelling of the urinary catheter. For patients with short-term indwelling urinary catheter after urology surgery, the bladder can be trained with the timed clamping catheter mode.
