Nursing study of two different urethral stent flush methods for postoperative complications of hypospadias repair in children patients
10.3760/cma.j.issn.1672-7088.2018.01.001
- VernacularTitle:两种不同尿道支架管冲洗方法对小儿尿道下裂术后并发症的护理研究
- Author:
Feijie WANG
1
;
Zhixia WANG
;
Lu WANG
;
Yinping CHU
Author Information
1. 河南省人民医院泌尿外科
- Keywords:
Nursing care;
Complication;
Hypospadias;
Urethral stent flush
- From:
Chinese Journal of Practical Nursing
2018;34(1):1-4
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of two different urethral stent flush methods for postoperative complications of hypospadias repair in children patients. Methods A total of 182 cases of children patients who underwent urethroplasty with pedicled double skin flaps from March 2014 to March 2016 were divided into intervention group (n=89) and the control group (n=93) by using random number method. The control group was treated with gentamicin irrigation urethral stent;the intervention group was treated with gentamicin irrigation urethral stent, and the patients were trained to urinate twice with the stent from the fourth day after surgery. The incidence of urinary fistula and urethral stricture within one year after surgery, and the anxiety level of patients' caregivers were assessed. Results The incidence of urinary fistula in the intervention group and the control group were 5.7％(5/87) vs. 15.2％(14/92), and the difference was statistically significant(χ2=4.227, P<0.05). In the intervention group, the cases of non anxiety, mild anxiety, moderate anxiety and severe anxiety respectively were 33(37.9％), 42(48.3％), 8 (9.2％) and 4(4.6％). However, in the control group the cases were 21(22.8％), 46(50.0％), 12(13.0％), 13 (14.1％) respectively. The anxiety degree of patients' caregivers was significantly different between intervention group and control group (Z=2.757, P<0.01). Conclusions The training of early micturition with stent after hypospadias surgery can significantly reduce the incidence of urinary fistula and the anxiety level of caregivers.
