精细护理在脑外伤留置导尿管并发睾丸附睾炎中的应用

The application of fine nursing in traumatic brain injury indwelling catheter concurrenttesticular epididymitis

目的：探讨脑外伤留置导尿管并发睾丸附睾炎精细护理效果。方法：选取2013年1月-2015年1月于我院接受治疗的80例脑外伤留置导尿管并发睾丸附睾炎患者为研究对象,将其随机等分为观察组和对照组。两组患者均进行抗感染、局部换药、营养神经、肢体康复等治疗,拔出留置导管,采用间歇式导尿方式帮助患者排尿,每日6-7次,观察组采用精细护理,对照组采用常规护理。结果：观察组的治疗效果优于对照组,护理满意度高于对照组,生活质量评分高于对照组,差异均有统计学意义（P〈0.05）。结论：精细护理能有效降低脑外伤留置导尿管并发睾丸附睾炎患者发生感染的风险,提高治疗有效率和患者满意度,提升生活质量,值得推广。

Objective： To explore the effect of fine nursing in traumatic brain injury indwelling catheter concurrenttesticular epididymitis. Methods： Selected80 cases patients of traumatic brain injury indwelling catheter concurrent testicular epididymitis treated in our hospital from January,2013 to January,2015 and divided them into observation group and control group at random. Patients in two groups had anti- infective treatment,partial dressing,neurotrophic treatment and physical rehabilitation,unplugged the indwelling cathether. The intermittent catheterization way was adopted to help patients urinate,6- 7 times a day. The observation group adopted fine nursing while control group adopted routine nursing. Results： The effect in observation group was better than control group; the nursing satisfaction was high than control group; the life quality score was higher than control group. The difference was of statistic significance（ P〈0. 05）. Conclusion： Fine nursing could reduce the risk of infection of traumatic brain injury indwelling catheter concurrent testicular epididymitis of patients effectively,improve the treatment efficiency and patient satisfaction and improve the life quality,which was worth promoting.