Ueda T, Arai Y, Yoshimura N, Yoshida O
Department of Urology, Rakuwakai Otowa Hospital.
Hinyokika Kiyo. 1991 Jun;37(6):583-8.
In a geriatric general hospital, 157 patients with an indwelt urethral catheter and 158 patients using diapers were evaluated by detailed interview, urinalysis, measurement of residual urine, and cystometry during a period of 16 months from July, 1988, when the Department of Urology was established. As a result of therapeutic modalities, 94% of the patients were freed from the catheter or diapers. The indwelling catheter was found to be unnecessary in one-third of the patients. In addition, among the patients wearing diapers, one-third were capable of urinating only with the appropriate assistance of paramedical staff. It took less than 1 month for half but more than 1 year for 10% of the patients to be freed from the catheter or diapers. On the contrary, 19 patients could not be freed from the catheter or diapers, not due to bladder dysfunction but rather to mental, physical and social disabilities. These findings indicate that accurate diagnosis and management in collaboration with paramedical staff are required to solve urinating problems in the elderly.
在一家老年综合医院，从1988年7月泌尿外科成立起的16个月期间，通过详细访谈、尿液分析、残余尿量测量和膀胱测压对157例留置导尿管患者和158例使用尿布的患者进行了评估。作为治疗方式的结果，94%的患者不再使用导尿管或尿布。发现三分之一的患者无需留置导尿管。此外，在使用尿布的患者中，三分之一的患者仅在医护辅助人员的适当协助下才能排尿。一半的患者在不到1个月的时间内不再使用导尿管或尿布，而10%的患者则需要1年以上的时间。相反，19例患者无法不再使用导尿管或尿布，原因不是膀胱功能障碍，而是精神、身体和社会方面的残疾。这些发现表明，需要与医护辅助人员合作进行准确的诊断和管理，以解决老年人的排尿问题。
