人工尿道括约肌植入术围手术期护理

Perioperative nursing practice of artificial urinary sphincter placement

目的总结人工尿道括约肌(AUS)植入术围手术期的护理实践。方法分析2013年11月至2020年12月北京医院收治的15例接受AUS植入术患者的护理经验,护理要点包括术前护理,术中护理配合、术后护理及随访健康教育。结果15例患者均于术后6周成功激活控制泵,12例成功完成了AUS植入术,即达到了社交控尿的标准(每日使用尿垫≤2块),患者尿失禁症状评分由术前的(13.50±2.20)分降低为术后的(8.08±1.62)分;尿失禁生命质量评分由术前的(71.41±16.41)分提高到术后的(86.25±10.91)分。结论AUS植入术有广泛的应用前景,临床效果较好,但护理经验还需要大规模临床观察及总结。

Objective To summarize the perioperative nursing practice of 15 cases of artificial urinary sphincter(AUS)placement.Methods The nursing experience of 15 patients who received AUS placement in Beijing Hospital from November 2013 to December 2020 was analyzed.Nursing points included preoperative nursing,intraoperative nursing cooperation,postoperative nursing and follow-up education.Results All the 15 patients successfully activated the control pump six weeks after AUS placement,12 patients could reach the standard of social continence(use of urine pads≤2 pieces per day),and the score of urinary incontinence symptom decreased from(13.50±2.2)to(8.08±1.62),and the difference was statistically significant(t=6.79,P<0.01);the urinary incontinence quality of life score increased from(71.41±16.41)to(86.25±10.91),and the difference was statistically significant(t=-2.61,P<0.05).Conclusion AUS placement is effective and promising in clinical use,but nursing experience needs to be observed clinically and summarized.