Doherty W
West Herts Community Health NHS, Watford.
Br J Nurs. 1999;8(2):73-6, 78, 80 passim. doi: 10.12968/bjon.1999.8.2.6714.
Intermittent self-catheterization (ISC) or carer/nurse assisted intermittent catheterization has developed over the past few years as a means of treating patients with bladder emptying problems. Initially the process was designed for patients with the dexterity to carry out the procedure; today, however, more nurses are trained in the technique and are therefore able to support people with coordination problems in carrying out the procedure. Education programmes on catheterization are becoming increasingly popular and many district nurses have become skilled in its practice. This article describes some of the conditions that may be associated with bladder dysfunction and which warrant ISC. The support required from nurses in the planning, implementing, intervention and evaluation of a package of care are discussed. Simple advice such as avoiding constipation, monitoring urine to identify infection and general measures to improve hygiene all play a role in maintaining good health.
间歇性自我导尿（ISC）或护理人员/护士辅助间歇性导尿在过去几年中已发展成为治疗膀胱排空问题患者的一种手段。最初，该方法是为有能力自行操作的患者设计的；然而如今，越来越多的护士接受了该技术培训，因此能够支持存在协调问题的患者进行操作。导尿教育项目越来越受欢迎，许多社区护士已熟练掌握该操作。本文描述了一些可能与膀胱功能障碍相关且需要进行间歇性自我导尿的病症。还讨论了在一整套护理方案的规划、实施、干预和评估过程中护士所需提供的支持。诸如避免便秘、监测尿液以识别感染以及改善卫生状况的一般措施等简单建议，在维持健康方面都发挥着作用。
