院外留置导尿管患者的家庭随访指导

Follow-up guidance for discharged patients with long-term indwelling urinary catheters

目的探讨家庭留置导尿管患者的护理管理方法。方法将128例家庭留置导尿管患者按时间顺序分为对照组(62例)和干预组(66例),对照组实施常规护理指导;干预组在此基础上首先调查评估再进行家庭随访指导,包括心理护理,尿路感染、尿液引流不畅、患者不适感、尿道口渗尿及拔管困难的预防等指导。结果干预组患者留置导尿管并发症发生率显著低于对照组(P<0.05,P<0.01),照顾者知识掌握情况显著优于对照组(P<0.05,P<0.01)。结论实施家庭随访指导能明显降低留置导尿管患者并发症的发生,提高家庭留置导尿管患者照顾者的管理能力。

Objective To explore nursing interventions on patients with indwelling urinary catheters discharged from hospital to home. Methods Totally, 128 patients with indwelling urinary catheters discharged from hospital to home were assigned into a con- trol group of 62 and an intervention group of 66 according to chronological order. The control group was given conventional nursing instructions, while their counterparts in the intervention group additionally received follow up guidance which was provided based on assessment, including psychological care and instructions for prevention of urinary tract infection, inadequate urine drainage, discomfort, urine leakage, and difficulty in removal of catheters, etc. Results Incidence rates of catheter-induced complications in the intervention group were significantly lower than those in the control group, and carets＇ proficiency of knowledge about care of urinary catheter was significantly better in the intervention group （P〈0.05, P〈0.01）. Conclusion Implement of follow-up guidance could decrease catheter-induced complications in patients with urinary catheters, and improve family carersr management of cathe- ters.