护士使用护理点超声波评估膀体积:一个横截面研究
Tatiana Fuzaro1, Dejanira Aparecida Regagnin1, Thales Henrique Vieira Brandão1
1Hospital Israelita Albert Einstein, Departamento de Pacientes Graves, São Paulo, SP, Brazil.
Revista da Escola de Enfermagem da U S P
|July 18, 2025
概括
护士经常使用治疗点膀超声波 (POCUS) 对没有尿动术后或膀导管切除后的患者. POCUS准确地估计了尿液量,与导管排水量有很强的相关性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 关键护理护理 关键护理护理
- 医疗成像医学成像
背景情况:
- 尿是各种临床环境中常见的并发症.
- 准确评估膀体积对于及时干预至关重要.
- 护理点超声波 (POCUS) 提供了一种非侵入性方法来评估膀体积.
研究的目的:
- 确定在膀评估中进行POCUS的护士的主要指示.
- 评估通过POCUS测量的膀体积与通过膀导管排泄的尿液体积之间的相关性.
主要方法:
- 一项涉及211名在重症监护,半重症监护和医疗外科病房的成年患者的横截面研究.
- 纳入标准:膀导管切除后>6小时或>4小时没有自发排尿.
- 收集关于POCUS原因的数据,并将POCUS估计的体积与排尿体积进行比较.
主要成果:
- 对POCUS的关键指示包括手术后的尿留 (35.0%),在移除住宿膀导管 (DBC) 后 (35.1%),以及意识水平下降 (DLC) (13.7%).
- 通过POCUS测量的膀体积和由缓解膀导管 (RBC) 或DBC排出的实际尿液体积之间观察到非常强的相关性.
- DBC阻塞是较少出现的征兆 (0.9%).
结论:
- 护士在特定的临床场景中使用POCUS,包括手术后护理,在去除DBC后,以及在DLC患者中.
- POCUS是估计膀体积的可靠工具,与膀导管排泄的体积有很强的相关性.
- 研究结果支持将POCUS纳入护理实践,以有效评估膀.
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