改良成人男性接尿器固定方法在尿失禁中的应用效果

Application effect on improved fixing method of urine receptor for adult male in urinary incontinence

目的探究改良成人男性接尿器固定方法在尿失禁中的应用效果。方法随机将120例男性尿失禁使用接尿器的患者分为常规组60例、改良组60例,常规组将接尿器尿套部分套上阴茎后,再把引流袋挂床边,改良组在男性接尿器的尿套部分增加一个可调节松紧、可移动的固定器,再将男性接尿器的引流管部分采用"高举平台"+"S"型固定法固定在大腿内侧。评价两组患者接尿器脱套、接尿器漏尿、失禁性皮炎发生率及尿液细菌培养结果。结果改良组的接尿器脱套、接尿器漏尿、失禁性皮炎发生率均低于常规组,差异有统计学意义(P<0.01)。两组尿液细菌培养阳性率比较差异无统计学意义(P>0.05)。结论改良成人男性接尿器固定方法能有效降低接尿器脱套和接尿器漏尿发生率,减少失禁性皮炎的发生,提高尿失禁患者的生活质量及护理质量。

Objective To explore the clinical application effect on improved fixing method of urine receptor for adult male in urinary incontinence. Methods 120 patients used the male urine receptor were randomly divided into routine group and improved group,each group of 60 cases.ln the routine group,the urine sleeve of the urine collector was sheathed with the penis,and then the drainage bag was hanged on the edge of the bed.ln the improved group,the urine sleeve was add an adjustable elastic,mobile fixator, then the drainage tube part of the male urine collector was fixed in the inner side of the thigh by adopting ＂holding platform＂ ＋ ＂S＂ type.Incidence rate of urine collector degloving,urine collector leakage of urine,incontinence dermatitis and urine bacterial culture result in two groups were evaluated. Re- suits Incidence rate of urine collector degloving,urine collector leakage of urine,incontinence dermatitis in improved group was lower than that in routine group respectively,with statistical difference （P〈0.01）.Urine bacterial culture result between two groups was compared,with no statistical difference （P〉0.05）. Conclusion Improved fixing method of urine receptor for adult male can effectively reduce incidence rate of urine collector degloving,urine collector leakage of urine,reduce incontinence dermatitis,improve the quality of the life and the quality of nursing care in patient with uri- nm）, incontinence.