Segal E S, Deatrick J A, Hagelgans N A
School of Nursing, University of Pennsylvania, Philadelphia, USA.
J Pediatr Nurs. 1995 Apr;10(2):82-8. doi: 10.1016/S0882-5963(05)80002-8.
Myelomeningocele is a birth defect that results in lifelong consequences for the child and family. One of the abnormalities that results from the defect is a neurogenic bladder. Most children with myelomeningoceles will require a clean intermittent catheterization (CIC) program for continence. Yet, many children do not have success with these programs. The purpose of this report is to identify in the literature components of a successful self-catheterization program. The importance of proper urinary management in children with myelomeningoceles will be discussed. Physiological, developmental, and motivational qualities that are present in successful self-catheterization programs will be identified. The importance of knowing when the child is ready to learn, how to know when the child is ready to learn, and different styles of teaching self-catheterization will be discussed. Finally, nursing implications for children on CIC programs will be described.
脊髓脊膜膨出是一种出生缺陷，会给儿童及其家庭带来终身影响。该缺陷导致的异常之一是神经源性膀胱。大多数患有脊髓脊膜膨出的儿童需要进行清洁间歇性导尿（CIC）计划以实现膀胱控制。然而，许多儿童在这些计划中并未取得成功。本报告的目的是在文献中确定成功的自我导尿计划的组成部分。将讨论脊髓脊膜膨出患儿正确尿液管理的重要性。将确定成功的自我导尿计划中存在的生理、发育和动机因素。将讨论了解儿童何时准备好学习、如何知道儿童何时准备好学习以及自我导尿的不同教学方式的重要性。最后，将描述针对接受CIC计划儿童的护理要点。
