Contextualization: Emptying the bladder is a challenging problem for the urological community. Intermittent catheterization is the most widely used method to restore bladder emptying mechanism. However, this procedure...Contextualization: Emptying the bladder is a challenging problem for the urological community. Intermittent catheterization is the most widely used method to restore bladder emptying mechanism. However, this procedure can have a negative impact on self-image and result in a decline in the quality of life of patients. In this context, the use of a bladder emptying device (SVCATH3D) proposes to be effective and have a positive impact on the quality of life of different patients. Objective: The objective of the study was to evaluate the functionality of a new device for both intermittent and controlled emptying of the bladder in both sexes and ages. Materials and methods: A randomized clinical trial was conducted with 251 patients, with different bladder problems, from March 2013 to January 2023. After randomization, the patients were divided into two groups: Group I (SVCATH3D) and Group II (Clean Intermittent Catheterization). The primary outcome was defined as the impact on quality of life. Data on episodes of urinary tract infection, adverse effects, number of diaper use and treatment costs were analyzed. Results: The apposition of the SVCATH3D was performed on an outpatient basis, with no complications during the procedures. The patients were followed up for 10 years. There was a significant improvement in quality of life when comparing the moments before and after the use of SVCATH3D (p Conclusion: The study using SVCATH3D showed promising results in relation to functionality, showing improvement in quality of life with a reduction in episodes of urinary infection and amount of diapers/day. This allows us to conclude that SVCATH3D can represent an important step in the treatment of patients suffering from various bladder problems both incontinence and affecting emptying mechanism.展开更多
目的:探讨基于清洁间歇导尿术的自我护理在脊髓损伤后神经源性膀胱患者中的应用效果。方法:将86例脊髓损伤后神经源性膀胱患者按随机数字表法分为对照组和观察组各43例,对照组实施留置导尿法护理,观察组实施基于清洁间歇导尿术的自我护...目的:探讨基于清洁间歇导尿术的自我护理在脊髓损伤后神经源性膀胱患者中的应用效果。方法:将86例脊髓损伤后神经源性膀胱患者按随机数字表法分为对照组和观察组各43例,对照组实施留置导尿法护理,观察组实施基于清洁间歇导尿术的自我护理。比较两组患者干预前、干预3个月后膀胱功能恢复情况,泌尿系统感染发生情况及生活质量量表(QOL)评分变化。结果:干预3个月后,观察组膀胱容量、膀胱压力均明显高于干预前,膀胱残余尿量明显低于干预前,且两组干预后组间比较差异有统计学意义( P <0.05);观察组泌尿系统感染发生率低于对照组( P <0.05);干预3个月后,两组患者QOL中生理领域、心理领域、主观感受、社会关系领域、环境领域评分均较干预前升高,且观察组高于对照组( P <0.05)。结论:脊髓损伤后神经源性膀胱患者应用基于清洁间歇导尿术的自我护理,有助于减少并发症,缓解膀胱功能障碍,改善患者预后。展开更多
文摘Contextualization: Emptying the bladder is a challenging problem for the urological community. Intermittent catheterization is the most widely used method to restore bladder emptying mechanism. However, this procedure can have a negative impact on self-image and result in a decline in the quality of life of patients. In this context, the use of a bladder emptying device (SVCATH3D) proposes to be effective and have a positive impact on the quality of life of different patients. Objective: The objective of the study was to evaluate the functionality of a new device for both intermittent and controlled emptying of the bladder in both sexes and ages. Materials and methods: A randomized clinical trial was conducted with 251 patients, with different bladder problems, from March 2013 to January 2023. After randomization, the patients were divided into two groups: Group I (SVCATH3D) and Group II (Clean Intermittent Catheterization). The primary outcome was defined as the impact on quality of life. Data on episodes of urinary tract infection, adverse effects, number of diaper use and treatment costs were analyzed. Results: The apposition of the SVCATH3D was performed on an outpatient basis, with no complications during the procedures. The patients were followed up for 10 years. There was a significant improvement in quality of life when comparing the moments before and after the use of SVCATH3D (p Conclusion: The study using SVCATH3D showed promising results in relation to functionality, showing improvement in quality of life with a reduction in episodes of urinary infection and amount of diapers/day. This allows us to conclude that SVCATH3D can represent an important step in the treatment of patients suffering from various bladder problems both incontinence and affecting emptying mechanism.
文摘目的:探讨基于清洁间歇导尿术的自我护理在脊髓损伤后神经源性膀胱患者中的应用效果。方法:将86例脊髓损伤后神经源性膀胱患者按随机数字表法分为对照组和观察组各43例,对照组实施留置导尿法护理,观察组实施基于清洁间歇导尿术的自我护理。比较两组患者干预前、干预3个月后膀胱功能恢复情况,泌尿系统感染发生情况及生活质量量表(QOL)评分变化。结果:干预3个月后,观察组膀胱容量、膀胱压力均明显高于干预前,膀胱残余尿量明显低于干预前,且两组干预后组间比较差异有统计学意义( P <0.05);观察组泌尿系统感染发生率低于对照组( P <0.05);干预3个月后,两组患者QOL中生理领域、心理领域、主观感受、社会关系领域、环境领域评分均较干预前升高,且观察组高于对照组( P <0.05)。结论:脊髓损伤后神经源性膀胱患者应用基于清洁间歇导尿术的自我护理,有助于减少并发症,缓解膀胱功能障碍,改善患者预后。
