Palumbo M V
Fletcher Allen Health Care, Women's Health Care Services, 353 Blair Park, Williston, VT 05495, USA.
Ostomy Wound Manage. 2000 Dec;46(12):40-5.
Female pelvic organ prolapse is a common and aggravating condition that few women openly discuss. Fortunately, nonsurgical and surgical treatment options exist for this condition. Nonsurgical treatments include pessaries, which are used to reduce prolapse. The type of pessary depends on the direction and extent or grade of the protruding organ. The use of vaginal pessaries for urinary stress continence is a relatively new treatment option. Proper fit that is determined by trial is essential for effectiveness. Nurses at all levels now need to be familiar with the use of the vaginal pessary for pelvic organ prolapse and urinary stress incontinence. Nurses' roles regarding pessary use need to be clearly defined. Continence nurses should be familiar with the indications for pessary use, the types available for incontinence, and patient education regarding pessary care. Home health and long-term care nurses are frequently asked to periodically remove and insert pessaries. Skills and tips for making removal and insertion as easy as possible need to be disseminated. Advance practice nurses need skills for assessment of prolapse, fitting, and current outpatient pessary care routines. Increasing nurses' understanding of and comfort with pessary use might make a significant difference in the treatment of pelvic organ prolapse and urinary stress incontinence.
女性盆腔器官脱垂是一种常见且日益严重的疾病，但很少有女性会公开谈论。幸运的是，针对这种疾病有非手术和手术治疗方案。非手术治疗包括子宫托，用于减轻脱垂。子宫托的类型取决于突出器官的方向、程度或分级。将阴道子宫托用于治疗压力性尿失禁是一种相对较新的治疗选择。通过试用确定合适的尺寸对于有效性至关重要。各级护士现在都需要熟悉将阴道子宫托用于盆腔器官脱垂和压力性尿失禁的情况。护士在使用子宫托方面的角色需要明确界定。尿失禁专科护士应熟悉子宫托的使用指征、用于尿失禁的类型以及关于子宫托护理的患者教育。家庭健康护士和长期护理护士经常被要求定期取出和插入子宫托。需要传播使取出和插入尽可能容易的技巧和窍门。高级执业护士需要具备评估脱垂、适配以及当前门诊子宫托护理常规的技能。增强护士对使用子宫托的理解和熟练度可能会对盆腔器官脱垂和压力性尿失禁的治疗产生重大影响。
