Webster Joan, Osborne Sonya, Woollett Kaylene, Shearer Julie, Courtney Mary, Anderson Debra
Royal Brisbane and Women's Hospital, Queensland University of Technology, Australia.
J Wound Ostomy Continence Nurs. 2006 Mar-Apr;33(2):156-63. doi: 10.1097/00152192-200603000-00010.
Literature indicates that removing urinary catheters at midnight facilitates earlier discharge among urology patients, but the effect of evening removal on the general patient population is unknown. The objective of this study was to investigate whether removing a urinary catheter at 22.00 hours compared to 06.00 hours among a general hospital population would lead to earlier hospital discharge.
Randomized controlled trial.
The study was conducted in a large tertiary hospital in Brisbane, Australia. Two hundred and ten general surgical and medical patients who had an indwelling catheter as part of their routine care were included.
Length of hospital stay after catheter removal was not significantly affected by the timing of its removal among general hospital patients: mean hours morning 186.1; mean evening 209.3, (P = .309). In a cohort of surgical patients, the hospital stay was shorter in the evening removal group (mean hours morning 186.1; mean evening 209.3), but this result was not statistically significant (P = .127). Patients in the evening group were more likely to have a longer time period between catheter removal and the first postcatheter void, mean hours morning, 3.76 vs evening, 4.89 (t = -2.59, CI - 1.99 to -0.27). Timing of removal of the urinary catheter had no effect on the volume of the first void, mean volume morning, 214.7 mL vs evening, 221.4 mL. Twenty-five (12.1%) patients were recatheterized, but the rate of recatheterization between groups was similar. There were no differences in postdischarge problems between groups.
Among general hospital patients, removing an indwelling urinary catheter at 22:00 hours does not shorten the length of stay and is effective in increasing the time to first void.
文献表明，午夜拔除导尿管有助于泌尿外科患者更早出院，但夜间拔除导尿管对普通患者群体的影响尚不清楚。本研究的目的是调查在综合医院人群中，与06:00拔除导尿管相比，22:00拔除导尿管是否会使患者更早出院。
随机对照试验。
本研究在澳大利亚布里斯班的一家大型三级医院进行。纳入了210名作为常规护理一部分留置导尿管的普通外科和内科患者。
普通医院患者拔除导尿管后的住院时间不受拔除时间的显著影响：上午拔除的平均时长为186.1小时；晚上拔除的平均时长为209.3小时，（P = 0.309）。在一组外科患者中，晚上拔除导尿管组的住院时间较短（上午拔除的平均时长为186.1小时；晚上拔除的平均时长为209.3小时），但这一结果无统计学意义（P = 0.127）。晚上拔除导尿管组的患者在拔除导尿管至首次导尿后的排尿间隔时间更长，上午拔除的平均时长为3.76小时，晚上拔除的平均时长为4.89小时（t = -2.59，CI -1.99至-0.27）。拔除导尿管的时间对首次排尿量没有影响，上午拔除的平均排尿量为214.7毫升，晚上拔除的平均排尿量为221.4毫升。25名（12.1%）患者再次留置导尿管，但两组之间再次留置导尿管的发生率相似。两组之间出院后问题没有差异。
在综合医院患者中，22:00拔除留置导尿管不会缩短住院时间，但能有效延长首次排尿时间。
