Effect of different timing of urinary catheter removal on postoperative recovery in elderly patients undergoing transurethral resection of prostate
10.3760/cma.j.cn115682-20221028-05233
- VernacularTitle:不同时机拔除尿管对经尿道前列腺电切术老年患者术后恢复情况的影响
- Author:
Jiwei XING
1
;
Xudong ZHANG
;
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门诊治疗室，北京 100050
- Keywords:
Prostatic hyperplasia;
Aged;
Transurethral resection of prostate;
Timing of urinary catheter removal
- From:
Chinese Journal of Modern Nursing
2023;29(22):3043-3047
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of different timing of urinary catheter removal on postoperative recovery of elderly patients undergoing transurethral resection of prostate (TURP) .Methods:A total of 159 elderly patients undergoing TURP from Beijing Friendship Hospital Affiliated to Capital Medical University from March 2021 to June 2022 were selected as research objects by convenience sampling method, and were divided into the urinary catheter removal within 48 h after surgery group ( n=47), urinary catheter removal within 48 to 72 h after surgery group, urinary catheter removal>72 h after surgery group. The degree of dysuria after catheter removal, incidence of urinary tract infection, secondary catheter insertion rate and postoperative hospital stay were compared among the three groups. Results:The proportion of patients with moderate or above dysuria of the urinary catheter removal within 48 to 72 h after surgery group was lower than those of the urinary catheter removal within 48 h after surgery group and the urinary catheter removal>72 h after surgery group, and the differences were statistically significant ( P<0.05). The incidence of urinary tract infection of the urinary catheter removal within 48 h after surgery group and the urinary catheter removal within 48 to 72 h after surgery group were lower than that of the urinary catheter removal>72 h after surgery group, and the differences were statistically significant ( P<0.05). The rate of secondary catheterization of the urinary catheter removal within 48 to 72 h after surgery group and the urinary catheter removal>72 h after surgery group were lower than that of the urinary catheter removal within 48 h after surgery group, and the differences were statistically significant ( P<0.05). The postoperative hospital stay of the curinary catheter removal within 48 to 72 h after surgery group was shorter than those of the urinary catheter removal within 48 h after surgery group and the urinary catheter removal>72 h after surgery group, and the differences were statistically significant ( P<0.05) . Conclusions:Removing urinary catheter within 48 to 72 h after surgery can effectively reduce the degree of urination difficulty in elderly patients undergoing TURP, the incidence of urinary tract infection and the rate of secondary catheterization, and shorten the postoperative hospital stay.
