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The effects of bladder training on bladder functions after transurethral resection of prostate

医学 泌尿科 排尿 经尿道前列腺电切术 夜尿症 导管 前列腺 膀胱 国际前列腺症状评分 膀胱镜检查 泌尿系统 下尿路症状 外科 内科学 癌症
作者
Funda Büyükyılmaz,Yeliz Çulha,Hande Zümreler,Murat Özer,Mehmet Gökhan Çulha,Alper Ötünçtemur
出处
期刊:Journal of Clinical Nursing [Wiley]
卷期号:29 (11-12): 1913-1919 被引量:5
标识
DOI:10.1111/jocn.14939
摘要

The aim of this was to examine the effect of bladder training on bladder functions.Urinary catheterization is frequently performed in order to evaluate the outcomes of the surgical procedures and to monitor the urine output after urology operations.This quasi-experimental study was conducted in the urology clinic in Istanbul, Turkey in which 50 males were nonrandomly assigned to either a bladder training (n = 28) or a control group (n =22). In the bladder training groups, the urinary catheters of the patients were clamped at 4-hr intervals and then were left open for 5 min on the second postoperative day. This study was created in accordance with TREND Statement Checklist.The first urgency time and the first voiding time were longer, and the prevoiding and the voiding volumes were higher following the removal of the catheter in the training group (p = 0.001). In addition, the evaluation of the patient bladder diaries in the first three days after the discharge period revealed that the daily frequencies of micturition and nocturia were lower (p = 0.04), the mean duration of intervals between the micturition was longer (p = 0.006), and the mean voided urinary volume was higher (p = 0.024) in the training group.At the end of the study, it is observed that bladder training performed by clamping the catheter on postoperative day 2 after Transurethral Resection of Prostate (TUR-P) operation is a significant positive effect on the storage symptoms of the patients.Before removing the urinary catheter, bladder training programme affects positively to patients, especially prevoiding and the voiding volumes, the daily frequencies of micturition and nocturia on postoperative periods.
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