Application of Continuous Nursing in Patients with Clean Intermittent Catheterization_West China Medical Journal

Authors：

 YangJie , ZhangJianmei , JiangHongying ,  DuChunping

Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

DuChunping, Email: dup118@163.com

Keywords：

Spinal cord injury; Clean intermittent catheterization; Continuous nursing

DOI：

10.7507/1002-0179.201600515

Video：

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Objective To explore the effect and significance of continuous nursing in patients with clean intermittent catheterization. Methods From July to December 2013, 47 patients with spinal cord injury still relying on clean intermittent catheterization were selected as the control group, whom were given the routine care and guidance. From January to June 2014, 51 patients with spinal cord injury still relying on clean intermittent catheterization were selected as the study group; in addition to routine nursing instruction before leaving hospital, they were also guided with the continuous nursing. In the way of telephone follow-up, we analyzed the results via the questionnaire of the effect of continuous nursing for spinal cord injured patients with clean intermittent catheterization. Results The incidence of catheter related complications such as urinary tract infections in the study group was significantly lower than that in the control group (P<0.05). The caregivers' ability for patients in the study group was significantly higher than that in the control group (P<0.01). Conclusion The continuous follow-up nursing instruction can improve the nursing ability of caregivers, and effectively reduce the occurrence of catheter related complications.

Citation： YangJie, ZhangJianmei, JiangHongying, DuChunping. Application of Continuous Nursing in Patients with Clean Intermittent Catheterization. West China Medical Journal, 2016, 31(11): 1878-1881. doi: 10.7507/1002-0179.201600515 Copy

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23.	丘雪梅, 李燕, 盧向莉. 自我清潔間歇導尿在香港脊髓損傷中心的應用和啟示[J].嶺南現代臨床外科, 2008, 8(2):154-155.

1. 付偉, 李萍, 鐘銀燕. 延續性護理研究綜述[J].中國實用護理雜志, 2010, 26(11):27-30.
2. Chow SK, Wong FK, Chan TM, et al. Community nursing services for post discharge chronically ill patients[J].J Clin Nurs, 2008, 17(7B):260-271.
3. 吳志文, 劉雪梅, 劉根林, 等. 脊髓損傷患者的清潔間歇導尿[J].中國康復理論與實踐, 2003, 9(2):91-93.
4. 夏艷萍, 鄭紅云, 趙超男, 等. 脊髓損傷患者自我間歇導尿的可行性研究[J].中國脊柱脊髓雜志, 2004, 14(10):624-625.
5. 廖利民, 吳娟, 鞠彥合, 等. 脊髓損傷患者泌尿系管理與臨床康復指南①[J].中國康復理論與實踐, 2013, 19(4):301-317.
6. 李紅梅. 間歇導尿術在脊髓損傷患者中的應用[J].解放軍護理雜志, 2006, 23(8):55-56.
7. 吳階平. 泌尿外科[M].濟南:山東科學技術出版社, 1993:837.
8. 南登崑. 康復醫學[M].4版. 北京:人民衛生出版社, 2008:181-182.
9. 李鵬翔, 賀金傳, 喬矢愚. 導尿管毒性的實驗研究[J].臨床泌尿外科雜志, 1997, 12(3):176-178.
10. 于曉紅, 趙士玲, 鞏新華. 硅膠與橡膠導尿管引起尿道炎癥的對比分析[J].齊魯護理雜志, 1998, 4(5):27-28.
11. Woodbury MG, Hayes KC, Askes HK. Intermittent catheterization practices following spinal cord injury:a National survey[J].Canadian Journal of Urology, 2008, 15(3):4065-4071.
12. De Ridder DJ, Everaert K, Fernandez LG, et al. Intermittent catheterisation with hydrophilic-coated catheters (SpeediCath) reduces the risk of clinical urinary tract infection in spinal cord injured patients:a prospective randomised parallel comparative trial[J].Eur Urol, 2005, 48(6):991-995.
13. Stensballea J, Loomsb D, Nielsenb PN, et al. Hydrophilic coatedcatheters for intermittent catheterisation reduce urethral micro trauma:a prospective, randomised, participant-blinded, crossover study of three different types of catheters[J].Eur Urol, 2005, 48(6):978-983.
14. 趙立雙, 孫淑華, 林占峰, 等. 家屬參與護理模式對PICC家庭護理質量的影響[J].護理學雜志, 2009, 24(3):43-44.
15. 許美麗, 王申. 國內外延續性護理的發展現狀及對策[J].解放軍護理雜志, 2014(19):28-30, 33.
16. 田京發, 穆方, 陳立新, 等. 隨訪中心在醫院服務中的作用[J].中華醫院管理雜志, 2004, 20(5):306-307, 320.
17. 孔維珠. 推行出院病人回訪的實踐和體會[J].現代醫藥衛生, 2011, 27(5):772-773.
18. 蘇小強, 郗朝暉, 馬力, 等. 綜合醫院開展出院病人回訪工作的實踐與探討[J].中國醫院管理, 2008, 28(11):56-57.
19. 李龍英, 邱秋萍, 黃文玉, 等. 家庭隨訪對外傷性截癱病人生活質量的影響[J].全科護理, 2010, 8(17):1509-1510.
20. 吳善鳳, 張營, 蔣云飛. 家庭隨訪對留置尿管患者護理的效果評價[J].護士進修雜志, 2011, 26(7):637-639.
21. 胡平, 黃立華, 張祥華, 等. 泌尿外科患者隨訪意愿的調研[J].中華臨床醫師雜志:電子版, 2007, 1(7):35-37.
22. 陳凌平, 陳志勇, 陳通益, 等. 出院病人隨訪管理系統構建和實踐[J].中國醫院建筑與裝備, 2006, 7(5):44-47.
23. 丘雪梅, 李燕, 盧向莉. 自我清潔間歇導尿在香港脊髓損傷中心的應用和啟示[J].嶺南現代臨床外科, 2008, 8(2):154-155.

West China Medical Journal

Application of Continuous Nursing in Patients with Clean Intermittent Catheterization

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