Effects of adhesive tape and string fixation for cather fixation on postoperative infection and comfort in male patients undergoing percutaneous nephrolithotomy
10.3760/cma.j.cn211501-20210208-00430
- VernacularTitle:固定胶带+细绳固定法固定导尿管对经皮肾镜取石术男性患者术后感染和舒适度的影响
- Author:
Ruili ZHANG
1
;
Yan ZHANG
;
Lianghua JIA
;
Daoxiu ZHANG
Author Information
1. 郑州大学第一附属医院泌尿外科尿动力中心，郑州 450052
- Keywords:
Catheter;
Fixation;
Catheter-associated urinary tract infection;
Catheter-related discomfort
- From:
Chinese Journal of Practical Nursing
2022;38(11):812-816
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To probe into the influence of adhesive tape and string fixation on postoperative catheter-associated urinary tract infection(CAUTI) and comfort degree of patients undergoing percutaneous nephrolithotomy.Methods:A total of 106 cases of male urinary tract calculi patients undergoing percutaneous nephrolithotomy in Urology Department of First Affiliated Hospital of Zhengzhou University from January 2018 to April 2019 were selected. They were divided into the experimental group (55 cases) and the control group (51 cases) by random digits tbale method. The control group received platform fixation method, the experimental group implemented adhesive tape and string fixation method for catheter fixation. The incidence of CAUTI were compared between two groups, the catheter exposed length changes and catheter-related discomfort changes was also compared.Results:The incidence of CAUTI were 3.9%(2/51) in the experimental group, significantly lower than 16.7%(8/48) in the control group, the difference was statistically significant ( χ2=4.42, P<0.05). After 3 days, 5 days and 7 days of indwelling catheter, the catheter exposed length were (17.76 ± 1.41), (17.12 ± 1.28), (16.49 ± 1.63) cm, significantly longer than those in the control group (16.04 ± 1.96), (15.81 ± 1.78), (15.29 ± 1.96) cm ( t=5.00, 4.17, 3.32, all P<0.05); the catheter-related discomfort symptom scores at above mentioned time were 0.82 ± 0.09, 0.53 ± 0.07, 0.49 ± 0.08, significantly lower than those in the control group (1.17 ± 0.23, 0.92 ± 0.09, 0.77 ± 0.11), the differences were statistically significant ( t=2.10, 2.88, 2.46, all P<0.05). Conclusions:Adhesive tape and string fixation method for catheter fixation can reduce the incidence of CAUTI of patients with urinary tract calculi, improve the catheter fixed state as well as reduce the patient′s catheter-related discomfort.
