一次性密闭式中段尿留取装置的研制与应用

Development and application of disposable closed midstream urine collector

目的解决传统中段尿采集杯存在容器易污染、不易持拿且密封性欠佳等问题,降低中段尿标本留取的不合格率。方法选取2016年7月—12月126例未留置导尿管患者为实验组;2017年1月—5月112例未留置导尿管患者为对照组,两组在常规治疗、护理的基础上,实验组应用自行设计制作的一次性密闭式中段尿留取装置收集标本(以下简称中段尿留取装置),对照组采用传统尿杯收集标本。评价两组收集标本不合格率、患者满意率及依从性。结果两组中段尿留取依从性比较,差异有统计学意义(χ2=16.505,P<0.001)。两组中段尿留取标本合格率比较,差异有统计学意义(χ2=5.115,P=0.024)。实验组和对照组的满意度评分分别为(4.3±0.2)分和(2.8±0.6)分。结论中段尿留取装置能够降低中段尿留取不合格率,提高患者满意率及依从性。

Objective To solve the problems of easily being contaminated and being difficult to hold and poor sealing for traditional midstream urine collection cups,and to reduce the unqualified rate of midstream urine col- lection. Methods A total of 126 patients without indwelling urinary catheter were selected from July to December in 2016 as the experimental group. From January to May 2016,112 patients without urinary catheter were selected as the control group. On the basis of conventional therapy and nursing care,the experimental group was given the self-designed disposable closed midstream urine collector to collect the specimens,and the control group was given the traditional urine cup to collect specimens. The unqualified rate,patient satisfaction and compliance were com- pared between two groups. Results There were 126 specimens in the experimental group,ll5 were qualified spee- imens,ll were unqualified specimens,and the unqualified rate was 8.73% （ll/126） ;there were 122 specimens in the control group,91 were qualified specimens,21 were unqualified specimens,and the unqualified rate was 18.75% （21/122）;the satisfaction scores of the experimental group and the control group were （4.3±0.2） and （2.8±0.6）,re- spectively;the experimental group had 66 cases of full compliance,48 cases of partial compliance,12 cases of non- compliance,and the eompliance rate was 90.47%（114/126）;the eontrol group had 27 cases of full compliance,51 cases of partial compliance,34 cases of noncompliance,and the compliance rate was 39.28%（44/112）. Conclusion The disposable closed midstream urine collector can reduce the unqualified rate of specimens and improve patient satisfaction rate and compliance.