Owan Tomoko, Kohra Takehiro, Miyara Yoshimi, Kohki Miyoko, Shimo Yukari, Bise Toshiko, Sugaya Kimio, Kiriyama Masako, Sunagawa Yoko, Kohno Shinzo
Department of Fundamental Nursing, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan.
Nurs Health Sci. 2003 Sep;5(3):189-97. doi: 10.1046/j.1442-2018.2003.00152.x.
We investigated the difficulties involved in assessing post prostatectomy voiding according to 20 nurses working in urology and dermatology wards. Problems they encountered included completing a urination (frequency/volume) chart and performing an assessment. We constructed a hourly urination chart for basic nursing education in urinary incontinence. This was used for a 76-year-old male patient with hypertension and diabetes mellitus who underwent a prostatectomy. Urination was recorded for 17 consecutive days after catheter removal. Detailed pathological findings were more distinct in the hourly rather than daily recordings of voluntary micturition. Voluntary micturition appeared 12 h after catheter removal, but it was very scanty. After the onset of urination, frequency and amount of daily voluntary micturition was inversely related to incontinence during the 17 days after catheter removal. We drafted a set of urination recovery stages to enable the analysis of a patient's urination status. Nurses understood its importance and were able to reach a consensus on how to manage patients with postoperative incontinence. We have constructed a practical system for use by specialist urology nurses.
我们根据在泌尿外科和皮肤科病房工作的20名护士的情况，调查了评估前列腺切除术后排尿情况所涉及的困难。他们遇到的问题包括填写排尿（频率/尿量）图表和进行评估。我们构建了一份用于尿失禁基础护理教育的每小时排尿图表。该图表用于一名76岁患有高血压和糖尿病且接受了前列腺切除术的男性患者。拔除导尿管后连续17天记录排尿情况。与每日记录相比，每小时记录的自主排尿详细病理结果更为明显。拔除导尿管12小时后出现自主排尿，但尿量很少。排尿开始后，拔除导尿管后的17天内，每日自主排尿的频率和量与尿失禁呈负相关。我们起草了一套排尿恢复阶段，以便分析患者的排尿状况。护士们理解其重要性，并能够就如何管理术后尿失禁患者达成共识。我们构建了一个供泌尿外科专科护士使用的实用系统。
