持续膀胱冲洗的最佳冲洗速度研究

Study on the best washing speed of continuous bladder irrigation

  • 摘要:
      目的  探讨持续膀胱冲洗的最佳冲洗速度。
      方法  选择2020年2-5月79例行经尿道前列腺电切术后患者为对照组,2020年6-8月81例行经尿道前列腺电切术后患者为实验组。对照组采用传统膀胱冲洗方法,实验组按照本研究确定的最佳冲洗速度冲洗。比较2组患者尿管堵塞、膀胱痉挛发生情况及冲洗时间,分析培训前后护士对膀胱冲洗引流液的认知情况。
      结果  培训后,20名护士对膀胱冲洗引流液的颜色描述、出血量估算、护理记录填写、冲洗速度调节的正确率高于培训前,差异有统计学意义(P < 0.05)。实验组尿管堵塞、膀胱痉挛发生率低于对照组,冲洗时间短于对照组,差异有统计学意义(P < 0.05)。
      结论  本研究自制的膀胱冲洗引流液比色卡及通过临床试验确定的特定颜色应匹配的最佳冲洗速度,显著改善了持续膀胱冲洗的效果,降低了尿路堵塞、膀胱痉挛的发生率,缩短了冲洗时间,有利于患者恢复并减轻了护士工作负担。

     

    Abstract:
      Objective  To investigate the optimized washing speed of continuous bladder irrigation.
      Methods  From February to May 2020, 79 patients with transurethral resection of prostate (TURP) were selected as control group, and 81 patients with TURP from June to August 2020 were selected as experimental group. The control group adjusted the speed of continuous bladder irrigation according to the traditional method, and the experimental group was irrigated according to the best speed of bladder irrigation discussed in this study. Occurrence of urinary duct blockage, bladder spasm, and irrigation time were compared, and nurses' cognition on bladder irrigation and drainage fluid before and after training was analyzed between the two groups.
      Results  After training, the accuracy rates of color description, blood loss estimation, nursing record as well as filling and washing speed adjustment of drainage fluid by bladder irrigation of 20 nurses were higher than those before the training (P < 0.05). The incidence rates of urinary blockage and bladder spasm in the experimental group were lower than those in the control group, and the irrigation time was shorter than that in the control group (P < 0.05).
      Conclusion  The self-made colorimetric card of drainage fluid by bladder irrigation used in this study, and the optimal washing speed of specific color determined through clinical tests can improve the effect of continuous bladder irrigation, reduce incidence rates of urinary blockage and bladder spasm, and shorten the flushing time, which is beneficial to the patients' recovery and reduction of workload of nurses.

     

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