无接触式导尿技术在脊髓损伤神经源性膀胱患者的应用

Application of "no-touch" method of intermittent urinary catheter insertion to patients with spinal cord injury

目的探讨无接触式导尿技术在脊髓损伤神经源性膀胱患者中的应用效果。方法将100例脊髓损伤神经源性膀胱患者,按照入院时间分为观察组(2016年1月至2017年12月)和对照组(2014年1月至2015年12月)各50例,观察组采用无接触式导尿技术进行间歇式导尿,对照组采用无菌导尿技术,比较两组泌尿系感染发生率、护理人员操作时间和操作步骤错误率。结果两组泌尿系感染发生率比较,差异无统计学意义(P> 0. 05);观察组方法操作时间、操作步骤错误率显著短于和低于对照组(P <0.05,P <0. 01)。结论无接触式导尿技术简单方便、安全高效,更有利于脊髓损伤神经源性膀胱患者实施膀胱管理。

Objective To determine the effect of "no-touch" method of intermittent urinary catheter insertion on patients with spinal cord injury(SCI).Methods A total of 50 SCI patients admitted between January,2016,and December,2017,were assigned into an experimental group,who received intermittent urinary catheter insertion by nurses using the "no-touch" method.Another 50 SCI patients admitted between January,2014,and December,2015,were treated as historical controls,who received aseptic intermittent catheterization.The incidence rate of urinary tract infection (UTI),procedure time by nurses and rates of wrong steps of the procedure among the 2 groups were compared.Results The incidence rate of UTI had no significant difference between the 2 groups(P > 0.05).The nurses spent less time in performing the procedure for experimental group,and had fewer rates of wrong steps of the procedure than for the control group (P<0.05,P<0.01).Conclusion No-touch intermittent catheterization is easy to perform,safe,and efficient,and helps manage the neurogenic bladder in SCI patients.