Mangnall Joanne
The Rotherham NHS Foundation Trust, Rotherham Community Health Centre, Rotherham, UK.
Br J Nurs. 2012;21(7):392, 384, 396-8. doi: 10.12968/bjon.2012.21.7.392.
Intermittent catheterisation provides a safe and effective alternative to indwelling catheterisation for patients who require bladder drainage. It can be undertaken by health professionals in a variety of clinical settings for a range of clinical indications, and increasingly by patients themselves who use it as a long-term bladder management technique. The relative simplicity of the technique comes with the potential for health professionals to underestimate the skills required when considering a regimen of intermittent catheterisation and, perhaps more importantly, to underestimate the impact it may have on individual patients. The aim of this article is to consider intermittent catheterisation, its indications as a bladder management technique, and the potential psychological impact it may have on the patient, as well as how this may influence concordance.
对于需要膀胱引流的患者,间歇性导尿是留置导尿的一种安全有效的替代方法。卫生专业人员可在各种临床环境中针对一系列临床指征进行间歇性导尿,而且越来越多患者自己也将其作为一种长期膀胱管理技术来使用。该技术相对简单,但卫生专业人员在考虑间歇性导尿方案时,可能会低估所需技能,或许更重要的是,会低估其对个体患者可能产生的影响。本文旨在探讨间歇性导尿、其作为膀胱管理技术的指征、对患者可能产生的潜在心理影响,以及这可能如何影响依从性。