Application of a dynamic urine output‑guided intermittent catheterization protocol in bladder safety management for patients with neurogenic bladder
10.3969/j.issn.1006-9771.2026.08.011
- VernacularTitle:动态尿量导向的间歇性导尿方案在神经源性膀胱患者膀胱安全管理中的应用
- Author:
Liangxiang REN
1
;
Yun YANG
1
;
Rong CAO
1
;
Wei ZHANG
1
;
Yiqing YE
1
;
Qianxia NIU
1
;
Tao JIANG
2
;
Peipei MEI
1
Author Information
1. Geriatric Rehabilitation Ward, the First Affiliated Hospital with Nanjing Medical University (Jiangsu Province Hospital), Nanjing, Jiangsu 210029, China
2. Orthopedics Ward, the First Affiliated Hospital with Nanjing Medical University (Jiangsu Province Hospital), Nanjing, Jiangsu 210029, China
- Publication Type:Journal Article
- Keywords:
neurogenic bladder;
dynamic urine volume monitoring;
intermittent catheterization;
bladder safety management;
nursing
- From:
Chinese Journal of Rehabilitation Theory and Practice
2026;32(8):978-983
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the effect of individualized intermittent catheterization (IC) guided by 24-hour dynamic urine volume monitoring on bladder function and urinary tract infection complications in patients with neurogenic bladder (NB). MethodsA total of 50 NB patients admitted to the First Affiliated Hospital of Nanjing Medical University from August, 2025 to June, 2026 were enrolled. The patients were randomly divided into control group (n = 25) and experimental group (n = 25). The control group received routine timed/empirical IC, and the experimental group adopted dynamic urine volume-guided individualized IC, for a week. Urine leukocyte positive rate, urine bacterial positive rate, frequencies of single catheterized volume > 400 mL, 24-hour catheterization and 24-hour urine leakage were recorded before and after intervention. ResultsAfter intervention, the positive rates of urine leukocytes and urine bacteria were lower in the experimental group than in the control group (χ2 > 5.094, P < 0.05), while the frequencies of single catheterized volume > 400 mL, 24-hour catheterization and 24-hour urine leakage were less (t > 2.078, P < 0.05). ConclusionThe individualized IC guided by 24-hour dynamic urine volume monitoring can accurately match individual urine secretion rhythm, reduce over-distension of bladder and unnecessary catheterization, and lower the incidence of urine leakage and urinary tract infection.
