急诊老年患者留置尿管漏尿原因剖析及护理对策.docVIP

急诊老年患者留置尿管漏尿原因剖析及护理对策 　　【摘 要】#8195；目的#8195；分析急诊患者留置导尿管漏尿的原因， 探讨相应的护理对策。方法#8195；选取这两年间本科留置导尿的老年患者52人， 统计出现漏尿的人数， 分析具体原因， 探讨研究护理对策。结果#8195；两年间本科老年患者留置导尿出现漏尿者共12人， 与导尿管型号不合适、老年患者退行性变化、气囊内生理盐水注入偏少或渗漏、导尿管引流不畅等因素有关， 采取相应的护理措施后， 10人漏尿得到有效控制， 2人漏尿减轻。结论#8195；在对留置导尿的老年患者进行护理的过程中， 应根据老年患者特点采取相应的对策， 达到有效预防和控制漏尿现象发生的目的。 　　【关键词】#8195；急诊老年患者；留置导尿管；原因分析；护理对策 　　Cause analysis and nursing strategies of emergency elderly patients with indwelling catheter leak GU Wei-sheng， LIU Fang， YANG Xiao-zhou. Shenzhen Shajing Hospital Affiliated to Guangzhou Medical College， Shenzhen 518104， China 　　【Abstract】#8195；Objective#8195；To analyze reasons of indwelling catheter leak in emergency patients to explore appropriate nursing strategies. Methods#8195；From December 2011 to December 2013， 52 cases of elderly patients with indwelling catheter leak in our department were selected， and the number of leak were calculated， the specific reasons were analyzed， and the nursing strategies were discussed. Results#8195；There were 12 cases ofindwelling catheter leak in our hospital during two years， which was caused by inappropriate catheter type， degenerative changes of elderly patients， fewer physiological saline injection in airbags or leakage， inadequate drainage of catheter， after corresponding measures， 10 cases of indwelling catheter leak got effective control， 2 cases alleviated. Conclusion#8195；In the nursing course of patients with indwelling catheter leak， appropriate measures should be taken according to the characteristics of elderly patients to prevent and control urine leakage phenomenon occurance. 　　【Key words】 #8195；Elderly emergency patients； Indwelling catheter； Cause analysis； Nursing strategies留置尿管是临床中常见的治疗方法， 主要用于下列情况：正确记录危重患者尿量， 观察尿颜色、浑浊度；保持手术患者膀胱空虚， 避免术中误伤；对泌尿系统疾病的患者进行引流及冲洗；对截瘫、昏迷、会阴部外伤患者留置导尿管可放置膀胱充盈过度并保持会阴部清洁[1]。急诊老年患者由于应激和老年生理退行性变等原因易出现排尿困难和尿失禁等排尿障碍， 需留置尿管， 但经常出现漏尿等并发症， 为患者带来很多不便[2]。本文通过对本科近两年来急诊老年患者留置尿管后漏尿的原因进行分析， 探讨相应的护理对策并总结经验， 具体内容如下。 　　1#8195；资料与方法 　　1. 1#8195；一般资料#819