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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19.	李龙英, 邱秋萍, 黄文玉, 等. 家庭随访对外伤性截瘫病人生活质量的影响[J].全科护理, 2010, 8(17):1509-1510.
20.	吴善凤, 张营, 蒋云飞. 家庭随访对留置尿管患者护理的效果评价[J].护士进修杂志, 2011, 26(7):637-639.
21.	胡平, 黄立华, 张祥华, 等. 泌尿外科患者随访意愿的调研[J].中华临床医师杂志:电子版, 2007, 1(7):35-37.
22.	陈凌平, 陈志勇, 陈通益, 等. 出院病人随访管理系统构建和实践[J].中国医院建筑与装备, 2006, 7(5):44-47.
23.	丘雪梅, 李燕, 卢向莉. 自我清洁间歇导尿在香港脊髓损伤中心的应用和启示[J].岭南现代临床外科, 2008, 8(2):154-155.

1. 付伟, 李萍, 钟银燕. 延续性护理研究综述[J].中国实用护理杂志, 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. 吴志文, 刘雪梅, 刘根林, 等. 脊髓损伤患者的清洁间歇导尿[J].中国康复理论与实践, 2003, 9(2):91-93.
4. 夏艳萍, 郑红云, 赵超男, 等. 脊髓损伤患者自我间歇导尿的可行性研究[J].中国脊柱脊髓杂志, 2004, 14(10):624-625.
5. 廖利民, 吴娟, 鞠彦合, 等. 脊髓损伤患者泌尿系管理与临床康复指南①[J].中国康复理论与实践, 2013, 19(4):301-317.
6. 李红梅. 间歇导尿术在脊髓损伤患者中的应用[J].解放军护理杂志, 2006, 23(8):55-56.
7. 吴阶平. 泌尿外科[M].济南:山东科学技术出版社, 1993:837.
8. 南登崑. 康复医学[M].4版. 北京:人民卫生出版社, 2008:181-182.
9. 李鹏翔, 贺金传, 乔矢愚. 导尿管毒性的实验研究[J].临床泌尿外科杂志, 1997, 12(3):176-178.
10. 于晓红, 赵士玲, 巩新华. 硅胶与橡胶导尿管引起尿道炎症的对比分析[J].齐鲁护理杂志, 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. 赵立双, 孙淑华, 林占峰, 等. 家属参与护理模式对PICC家庭护理质量的影响[J].护理学杂志, 2009, 24(3):43-44.
15. 许美丽, 王申. 国内外延续性护理的发展现状及对策[J].解放军护理杂志, 2014(19):28-30, 33.
16. 田京发, 穆方, 陈立新, 等. 随访中心在医院服务中的作用[J].中华医院管理杂志, 2004, 20(5):306-307, 320.
17. 孔维珠. 推行出院病人回访的实践和体会[J].现代医药卫生, 2011, 27(5):772-773.
18. 苏小强, 郗朝晖, 马力, 等. 综合医院开展出院病人回访工作的实践与探讨[J].中国医院管理, 2008, 28(11):56-57.
19. 李龙英, 邱秋萍, 黄文玉, 等. 家庭随访对外伤性截瘫病人生活质量的影响[J].全科护理, 2010, 8(17):1509-1510.
20. 吴善凤, 张营, 蒋云飞. 家庭随访对留置尿管患者护理的效果评价[J].护士进修杂志, 2011, 26(7):637-639.
21. 胡平, 黄立华, 张祥华, 等. 泌尿外科患者随访意愿的调研[J].中华临床医师杂志:电子版, 2007, 1(7):35-37.
22. 陈凌平, 陈志勇, 陈通益, 等. 出院病人随访管理系统构建和实践[J].中国医院建筑与装备, 2006, 7(5):44-47.
23. 丘雪梅, 李燕, 卢向莉. 自我清洁间歇导尿在香港脊髓损伤中心的应用和启示[J].岭南现代临床外科, 2008, 8(2):154-155.

West China Medical Journal

Application of Continuous Nursing in Patients with Clean Intermittent Catheterization

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