Effects of different timing of extubation on lower urinary tract symptoms and urinary control recovery of patients with indwelling catheter after general anesthesia
10.3760/cma.j.cn115682-20210501-01907
- VernacularTitle:不同拔管时机对全麻术后留置尿管患者下尿路症状和尿控恢复情况的影响
- Author:
Jiwei XING
1
;
Li TIAN
;
Shanshan ZHANG
;
Xuewei AN
;
Minjie WANG
Author Information
1. 首都医科大学附属北京友谊医院医疗保健中心外科，北京 100050
- Keywords:
Anesthesia, general;
Indwelling catheter;
Timing of extubation;
Lower urinary tract symptoms;
Urinary control recovery
- From:
Chinese Journal of Modern Nursing
2022;28(3):374-378
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore effects of different timing of extubation on catheter-related lower urinary tract symptoms and urinary control recovery after extubation in patients with indwelling catheter after general anesthesia.Methods:Using the stratified random selection method, a total of 198 patients who underwent indwelling catheter after general anesthesia in Beijing Friendship Hospital affiliated to Capital Medical University were selected from January 2018 to July 2019. Using the random number table method, they were randomly divided into the observation group (101 cases) and the control group (97 cases) . In both groups, the extubation method was established by evidence-based nursing demonstration and the water sac test results of the material and model of urinary duct in the hospital. In the control group, the timing of extubation was to remove the catheter when the bladder was empty and the patient had no urination intention, and then assist urination when the urination intention appeared. In the observation group, the time of extubation was when the bladder was in a full state and the patient had the intention to urinate, the urinary duct was naturally discharged with urine by abdominal pressure. The lower urinary tract symptoms associated with urinary tube and the recovery of urinary control after extubation were compared between the two groups.Results:The success rate of urination in the observation group was higher than that of the control group, the core lower urinary tract symptom score and incidences of frequency of urination, urgency and acute urinary retention were lower than those of the control group, and the differences were statistically significant ( P<0.05) . The maximum bladder pressure measurement volume and residual urine volume in the observation group were lower than those in the control group, and the urine control rate and maximum urine flow rate at 72 h after extubation were higher than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Extubation in patients with bladder filling and urination after general anesthesia can reduce the incidence and severity of lower urinary tract symptoms associated with the catheter, which help patients recover bladder function and improve urinary control ability.
