提前取出尿管对中风患者成功排泄和身体功能的影响
Megumi Tsuda1, Tomoya Fukawa1, Yasuyo Yamamoto1
1Department of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
The journal of medical investigation : JMI
|November 8, 2023
概括
在中风患者中,提前切除尿导管有助于更快的膀功能恢复和改善身体功能. 这种方法也可以降低并发症风险,有助于中风恢复.
科学领域:
- 神经学 神经学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 康复医学 康复医学 康复医学
背景情况:
- 尿是中风患者常见的并发症,通常需要尿导管.
- 在中风患者中,尿道导管切除 (无导管试验 - TWOC) 的最佳时间仍然是研究的主题.
研究的目的:
- 确定预测中风患者成功TWOC的因素.
- 评估尿导管切除时间对中风恢复和身体功能的影响.
主要方法:
- 使用多变量分析来评估TWOC成功的预测因素,基于患者的病情和导管停留时间.
- 患者被分为早期和晚期导管切除组,以比较TWOC的成功和身体功能恢复.
主要成果:
- 并发症和入院严重性/功能评分并不能预测成功的排泄.
- 在早期导管切除组中,成功排空的时间显著较短 (p<0.005).
- 早期导管切除与更好的身体功能改善相关.
结论:
- 在中风患者中,提前取出尿管似乎有助于更快地恢复膀功能.
- 这种策略还可以增强身体功能恢复,并可能降低并发症率.
相关概念视频
Imaging Studies VI: Voiding Cystourethrography and Cystography
10
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
10
Cardiac Catheterization IV: Nursing Management
29
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
29
Urinary Tract Infection IV: Nursing Management
17
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
17
Nursing Assessment of the Genitourinary System I: Health History
26
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
26
Urinary Tract Calculi V: Nursing Management
12
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
12
Suctioning the Nasopharyngeal Airway
456
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
456


