Advanced Nurse Practitioner in Urology, Ulster Hospital, South Eastern Health and Social Care Trust, Dundonald.
Lead Nurse Urology and Advanced Nurse Practitioner, York And Scarborough Teaching Hospitals NHS Foundation Trust, York.
Br J Nurs. 2024 Sep 5;33(16):754-760. doi: 10.12968/bjon.2024.0248.
Urinary incontinence is common and has many causes. A main one is urinary retention, and clean intermittent self-catheterisation is the gold standard for managing it. There are, however, complications associated with performing this, which affect patient experience, quality of life and compliance with the procedure. The most common complication is urinary tract infection (UTI), which can be debilitating and have serious consequences. On average, patients experience 2.7 UTIs a year. Infection often arises from residual urine left behind, this can be caused by mucosal suction into catheter eyelets giving the impression that the bladder has finished emptying and leading to early withdrawal of the catheter. Mucosal suction by catheter eyelets can also lead to micro-trauma. Hydrophilic catheters have long been used to prevent micro-trauma. A catheter using Micro-hole Zone Technology instead of conventional two eyelets was developed with the aim of reducing UTI risk by addressing risk factors for bladder micro-trauma and incomplete voiding. A recent evaluation of Coloplast's Luja male intermittent catheter found that 97% of nurses would recommend Luja, 96% of nurses felt confident their patients will learn how to completely empty their bladder with Luja, and 88% of nurses were less worried that their patients are at risk of getting UTIs due to incomplete bladder emptying.
尿失禁很常见，有很多原因。其中一个主要原因是尿潴留，清洁间歇性自我导尿是管理尿潴留的金标准。然而，执行此操作会有一些并发症，这些并发症会影响患者的体验、生活质量和对该程序的依从性。最常见的并发症是尿路感染（UTI），这可能使人衰弱，并产生严重后果。平均而言，患者每年会经历 2.7 次 UTI。感染通常源于残留的尿液，这可能是由于黏膜被吸入导管的眼孔中，给人一种膀胱已经排空的印象，导致导管过早拔出。导管的眼孔也会导致黏膜抽吸，从而导致微创伤。亲水导管长期以来一直用于预防微创伤。一种使用微孔区技术的导管而不是传统的双眼孔导管被开发出来，目的是通过解决膀胱微创伤和不完全排空的风险因素来降低 UTI 的风险。最近对科洛普男性间歇性导尿管的评估发现，97%的护士会推荐 Luja，96%的护士认为他们的患者会学会如何用 Luja 完全排空膀胱，88%的护士不太担心他们的患者由于不完全排空膀胱而有感染 UTI 的风险。
