RESUMO
@#ObjectiveTo discuss the perioperative nursing of sigmoid colon cystoplasty in neurogenic bladder patients after spinal cord diseases. Methods31 patients with neurogenic bladder due to the spinal cord diseases and received sigmoid colon cystoplasty were reviewed and followed up. ResultsThere were 2 cases complicated with bowel obstruction, 1 case with acute alleosis and 1 case with mycotic infection in bladder after the operation, who were all cured. After discharge, 2 cases lost the follow-up. During the follow-up period of 6 months to 4 years, 29 patients recovered well and kept in self-intermittent catheterization. ConclusionPreoperative psychological nursing and intestinal and bladder preparation, postoperative gastrointestinal and urinary drainage catheters nursing, intermittent catheterization training, regular follow-up and health guiding were the key nursing contents and the important step for ensuring an excellent outcome for the operation.
RESUMO
@#The perioperative nursing of sigmoid colon cystoplasty for neurogenic bladder patients including: preoperative psychological nursing, intestinal and vesical preparation; postoperative gastrointestinal decompression, drainage catheters and complications nursing; intermittent catheterization training before discharge; follow-up and healthy direction after discharge.
RESUMO
@# Objective To explore the role of Bladderscan in intermittent catheterization in patients with neurogenic bladder. Methods The data from 384 pairs of bladder volume measured with Bladderscan and catheterization methods respectively in 20 patients with neurogenic bladder were statistically analysed. Results The bladder volume were (405.7±119.3) ml and (371.4±122.7) ml from Bladderscan and catheterization respectively(P<0.01). A significant correlation between the two groups of data was demonstrated(r=0.91,P<0.01). Cumulative percentage of the difference between-50 ml and 50 ml was 75.5%. Conclusion Bladderscan may play an important role in the guide for intermittent catheterization in patients with neurogenic bladder.