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目的探讨拔除尿管后再次出现尿潴留的预防及处理方法。方法8例意识清醒的尿潴留留置尿管患者,拔管前一天定时夹闭尿管后拔管,3例患者再次出现尿潴留。针对此3例患者,从护理角度,如心理护理和对症治疗,探讨解决这一问题的方法。结果本组3例患者,经心理护理和热敷、诱导排尿等处理后无效,给予重新留置尿管并按需放尿1~3天,拔除尿管后均恢复了自主排尿。结论对意识清醒的尿潴留患者在留置尿管的整个过程中均按需放尿较拔管前一天定时夹闭尿管而言,可有效预防拔管后再次出现尿潴留。
Objective To investigate the prevention and treatment of urinary retention after removal of the catheter. Methods Eight patients with well-aware urinary retention indwelling catheter were catheterized, the catheter was extubated at regular intervals after extubation, and urinary retention occurred again in 3 patients. For these 3 patients, from the nursing point of view, such as psychological care and symptomatic treatment, to explore ways to solve this problem. Results The 3 patients in this group were ineffective after psychological nursing and hot compressing, induced urination and other treatments. They were given catheterization again and they were given urine for 1 to 3 days according to their need. After removing the catheter, autonomic urination was resumed. Conclusions For patients with conscious urinary retention during urinary catheter indwelling, urinary retention may be effectively prevented after extubation.