Clinical application of Q-syte separating film needleless closed transfusion connector in postoperative bladder cancer patients for bladder irrigation_Chinese Journal of Evidence-Based Medicine

Authors：

YE Li ¹ , WANG Ruting ¹ , LIU Shuangtai ¹ ,  LI Sheng ^1,2

1. Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, 430071, P.R.China;
2. Department of Biological Repositories, Zhongnan Hospital of Wuhan University, Wuhan, 430071, P.R.China;

Corresponding?author：

LI Sheng, Email: lisheng-znyy@whu.edu.cn

Keywords：

Q-Style separating film needleless closed transfusion connector; Three-cavity urethral catheter; Bladder cancer; Intravesical instillation

DOI：

10.7507/1672-2531.201905030

Video：

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Objectives To evaluate the effects of Q-syte separating film needleless closed transfusion connector in flushing chamber of three-cavity urethral catheter.Methods To retrospectively analyze the patients who underwent transurethral resection of bladder tumor for non muscle-invasive bladder cancer from January 2015 to July 2016 in Zhongnan Hospital of Wuhan University. After terminating the continuous bladder irrigation, the observed group used Q-syte separating film needleless closed transfusion connector to seal the flushing chamber of three-cavity urethral catheter, and control group used conditional approach to connect drainage bag. The degree of comfort and satisfaction of patients, urinary tract infection, time of stopping bladder irrigation and bladder perfusion time between two groups were assessed.Results A total of 88 patients were included involving 63 (72%) males and 25 (28%) females with a mean age of 60.2±4.7 years. There were no significant differences between two groups in age, gender, BMI, and complications (P>0.05). Compared to control group, case group had higher level of comfort degree (mild discomfort: 86.4% vs. 25.0%, P<0.001; moderate discomfort: 13.6% vs. 52.3%, P<0.001; severe discomfort: 0.0% vs. 22.7%, P=0.001), satisfaction degree (97.9±2.1 vs. 84.5±3.9, P<0.001), and lower rates of urinary tract infection (11.4% vs. 29.5%, P=0.034). In addition, the case group spent shorter time in terminating bladder irrigation (50.48±1.78 vs. 207.74±5.41, P<0.001) and bladder perfusion (141.47±3.25 vs. 205.35±5.17, P<0.001). All differences were statistical significance.Conclusions Application of Q-syte separating film needleless closed transfusion connector for sealing flushing chamber of three-cavity urethral catheter after continuous bladder irrigation could promote the degree of comfort and satisfaction of patients, and decrease the rate of urinary tract infection, as well as the working efficiency of health care professionals.

Citation： YE Li, WANG Ruting, LIU Shuangtai, LI Sheng. Clinical application of Q-syte separating film needleless closed transfusion connector in postoperative bladder cancer patients for bladder irrigation. Chinese Journal of Evidence-Based Medicine, 2019, 19(5): 539-542. doi: 10.7507/1672-2531.201905030 Copy

1.	徐雪芳, 趙曉華, 吳利和. 不同輸液接頭應用于中心靜脈導管相關性血流感染的對比研究. 中華醫院感染學雜志, 2015, 25(9): 2025-2027.
2.	謝可, 曹永, 王敏, 等. 無針正壓接頭在透析用中心靜脈導管護理中的應用. 國際護理學雜志, 2017, 36(19): 2724-2726.
3.	尤麗麗, 關玉霞, 葉維, 等. 無針密閉接頭臨床應用的研究進展. 中華現代護理雜志, 2017, 23(22): 2940-2944.
4.	O'Grady NP, Alexander M, Burns LA. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis, 2011, 52(9): e162-e193.
5.	劉桂玲, 朱小芳, 牛夢銥, 等. 經尿道膀胱腫瘤切除患者術后尿路感染的高危因素及病原菌分布研究. 中華醫院感染學雜志, 2017, 27(11): 2547-2550.
6.	Naselli A, Puppo P. En Bloc transurethral resection of bladder tumors: a new standard? J Endourol, 2017, 31(S1): S20-S24.
7.	那彥群. 中國泌尿外科疾病診斷治療指南手冊. 北京: 人民衛生出版社, 2014.
8.	曹卉娟, 邢建民, 劉建平. 視覺模擬評分法在癥狀類結局評價測量中的應用. 中醫雜志, 2009, 50(7): 600-602.
9.	付蓮英, 段淑云, 萬水珍. 視覺模擬評分法在病人滿意度調查中的應用. 長治醫學院學報, 2012, 8(2): 152-153.
10.	郭慶科, 周晶. Likert量表分析中不同IRT模型的有效性. 心理學探新, 2004, 24(3): 67-70.
11.	Pohl F, Hartmann W, Holzmann T, et al. Risk of infection due to medical interventions via central venous catheters or implantable venous access port systems at the middle port of a three-way cock: luer lock cap vs. luer access split septum system (Q-Syte). BMC Infect Dis, 2014, 14: 41.
12.	Adams D, KarpanenT, Worthington T, et al. Infection risk associated with a closed luer access device. J Hosp Infect, 2006, 62(3): 353-357.
13.	王建榮. 輸液治療護理實踐指南與實施細則. 北京: 人民軍醫出版社, 2009.
14.	賀彩芳, 吳雪潔, 楊碎麗, 等. 留置導尿致尿路感染與集尿袋更換時間的相關性研究. 中華醫院感染學雜志, 2007, 17(4): 412-414.

1. 徐雪芳, 趙曉華, 吳利和. 不同輸液接頭應用于中心靜脈導管相關性血流感染的對比研究. 中華醫院感染學雜志, 2015, 25(9): 2025-2027.
2. 謝可, 曹永, 王敏, 等. 無針正壓接頭在透析用中心靜脈導管護理中的應用. 國際護理學雜志, 2017, 36(19): 2724-2726.
3. 尤麗麗, 關玉霞, 葉維, 等. 無針密閉接頭臨床應用的研究進展. 中華現代護理雜志, 2017, 23(22): 2940-2944.
4. O'Grady NP, Alexander M, Burns LA. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis, 2011, 52(9): e162-e193.
5. 劉桂玲, 朱小芳, 牛夢銥, 等. 經尿道膀胱腫瘤切除患者術后尿路感染的高危因素及病原菌分布研究. 中華醫院感染學雜志, 2017, 27(11): 2547-2550.
6. Naselli A, Puppo P. En Bloc transurethral resection of bladder tumors: a new standard? J Endourol, 2017, 31(S1): S20-S24.
7. 那彥群. 中國泌尿外科疾病診斷治療指南手冊. 北京: 人民衛生出版社, 2014.
8. 曹卉娟, 邢建民, 劉建平. 視覺模擬評分法在癥狀類結局評價測量中的應用. 中醫雜志, 2009, 50(7): 600-602.
9. 付蓮英, 段淑云, 萬水珍. 視覺模擬評分法在病人滿意度調查中的應用. 長治醫學院學報, 2012, 8(2): 152-153.
10. 郭慶科, 周晶. Likert量表分析中不同IRT模型的有效性. 心理學探新, 2004, 24(3): 67-70.
11. Pohl F, Hartmann W, Holzmann T, et al. Risk of infection due to medical interventions via central venous catheters or implantable venous access port systems at the middle port of a three-way cock: luer lock cap vs. luer access split septum system (Q-Syte). BMC Infect Dis, 2014, 14: 41.
12. Adams D, KarpanenT, Worthington T, et al. Infection risk associated with a closed luer access device. J Hosp Infect, 2006, 62(3): 353-357.
13. 王建榮. 輸液治療護理實踐指南與實施細則. 北京: 人民軍醫出版社, 2009.
14. 賀彩芳, 吳雪潔, 楊碎麗, 等. 留置導尿致尿路感染與集尿袋更換時間的相關性研究. 中華醫院感染學雜志, 2007, 17(4): 412-414.

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Chinese Journal of Evidence-Based Medicine

Clinical application of Q-syte separating film needleless closed transfusion connector in postoperative bladder cancer patients for bladder irrigation

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