Abstract

Objective To analyze the application value of different removal methods of urinary catheter in the nursing of elderly patients undergoing urology surgery. Methods Eighty elderly patients undergoing urology surgery in our hospital were selected from March 2018 to March 2019. The patients were divided into study group (n=40) and reference group (n=40) according to the removal methods of urinary catheter. Symptomatic surgery was performed, and a double-chamber balloon catheter was placed after operation. The reference group was given conventional removal method of urinary catheter, and the study group was treated with modified removal method of urinary catheter. The comfort of the two groups when removing urinary catheter, the urination after removal of urinary catheter, and complications were compared. Results The rate of no special discomfort in the study group was higher than that in the reference group [82.50% (33/40) vs.17.50% (7/40)], the rate of slight pain was lower than that in the reference group [17.50% (7/40) vs.60.00% (24/40)], the rate of obvious pain was lower than that in the reference group [0.00% (0/40) vs.22.50% (9/40)] (P<0.05). The rate of voluntary urination in the study group was higher than that in the reference group [97.50% (39/40) vs.77.50% (31/40)], the rate of induced urination was lower than that in the reference group [2.50% (1/40) vs.22.50% (9/40)] (P<0.05). The incidences of urinary tract irritation, urinary retention in the study group were lower than those in the reference group [7.50% (3/40) vs. 35.00% (14/40), 0.00% (0/40) vs. 12.50% (5/40)] (P<0.05). Conclusion The modified removal method of urinary catheter in urological elderly patients can improve the comfort of extubation, prompt patients to urinate by themselves, and reduce the incidence of complications, which is worthy of clinical application. Key words: Conventional removal method of urinary catheter; Urological surgery for the elderly; Complications; Modified removal method of urinary catheter

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