一次性输液器在老年患者膀胱冲洗中的应用

Application of disposable infusion set for bladder washout in elderly patients with long-term urinary canal placement

目的探讨一次性输液器应用于膀胱冲洗方法对长期留置尿管的老年患者的效果，提高护理工作质量。方法将52例长期留置尿管的老年患者随机分为滴注组和对照组各26例，滴注组采用一次性输液器进行膀胱冲洗，对照组采用常规的一次性膀胱冲洗器进行冲洗。比较两组患者尿液细菌培养计数、患者舒适度、护士操作时问。结果两组患者尿液感染率比较，差异无统计学意义（P=O．500）；滴注组患者舒适度为92．31％，高于对照组的65．38％，差异有统计学意义（P=0．019）；滴注组患者需护士平均操作时间为（8．7±0．5）min，低于对照组的（13．5±0．3）min，差异有统计学意义（t=41．97，P=0．000）。结论一次性输液器应用于老年患者膀胱冲洗，简单易用，适合在居家及医疗机构护理工作中使用。

Objective To investigate the effectiveness of disposable infusion set for bladder washout inelderly patients with long-term urinary canal placement and improve the nursing quality. Methods Fifty-two elderly patients with long-term urinary canal placement were randomly divided into experimental group and control group. In the experimental group, disposable infusion sets were used to connect the rinsing solution and the urinary canal to accomplish bladder washout. On the contrary, routine method was used to do the bladder washout in the control group. The urine bacterial culture, comfortability of the patients, and the operating time by the nurses were compared between two groups. Results There was no significant difference in the urine bacterial culture between the experimental and the control group （ P = 0. 500 ）. The comfortability of the experimental group （92.31%） was significant better than that of the control group （65.38%）, the difference was statistically significant （P = 0. 019）. There was also significantly less operating time by the nurses for the experimental group （8.7 ± 0.5 ）rain than the control group （13.5 ± 0.3 ）min, the difference was statistically significant （t = 41.97,P 〈 0.01 ）. Conclusions The disposable infusion set for bladder washout is simple and easy to operate and is suitable for both at home and in medical caring.