Prostatic hyperplasia bladder spasm after surgery the patient care experience.docVIP

 PAGE \* MERGEFORMAT 5 Prostatic hyperplasia bladder spasm after surgery the patient care experience [Keywords:] bladder spasm, care, prostate surgery After prostatectomy, bladder trauma, balloon catheter placement, continuous bladder irrigation can increase the sensitivity of the bladder in detrusor contraction, resulting in cramps, which brought pain to the patient’s rehabilitation is not conducive to disease. I Division in 2003 February to December 2007 a total of 30 patients with postoperative bladder spasm, the use of effective nursing intervention to ease the spasm symptoms. Nursing now reported as follows. 1 Clinical data The surgical treatment of benign prostatic hyperplasia group, 80 patients, aged 58 to 92 years, mean age 76 years, associated with cardiovascular disease in 7 cases, three-chamber air bag after indwelling catheter, there were 30 patients after 2 to 8 h to the bladder washing are different degrees of bladder spasm different times, accounting for 25%. 2 Nursing 2.1 Psychological care Patients were elderly, should be patient and detail of the patients before surgery, guidance, to eliminate the ideological concerns of patients and enhance the confidence of patients overcome the disease. Preoperative health education and psychological care to do, so that patients understand the cause of bladder and prevention of spasm, in which patients are mentally prepared. should be taken after transfer of the patient attention, to eliminate the tension and reduce the incidence of bladder spasm, if necessary, in order to effectively control bladder spasm, may be appropriate application of sedatives. 2.2 nursing catheter Observe whether the drainage catheter patency. Those poor drainage, check whether the discount catheter, pressure, congestion, etc., to make appropriate adjustments according to the situation of suspected blood clot blocked with 20 mL syringe suction pumping a little saline is washed repeatedly clot could be extr