International Journal of Nursing Research

Objective: By adopting different urinary catheter fixation methods, to compare the urethral orifice oozing, urine leakage and bladder spasm during the indwelling catheter, as well as the pain scores of the patients in different positions under different fixation methods. The patient chooses the optimal urinary catheter fixation method to improve the comfort of the patient during the indwelling catheter. Methods: A total of 180 male patients with indwelling urinary catheters after urological surgery were included in the study and randomly divided into three groups. Group A was the control group without external fixation of the urinary catheter, patients in group B were fixed with urinary catheters in the abdomen, and patients in group C were The tube was fixed on the inner thigh, and a questionnaire survey was conducted on the first day after the operation to compare the three groups of patients with urethral orifice oozing blood, urethral orifice leakage, bladder spasm frequency and urethral orifice pain in different positions. The effect of patient comfort. Results: Compared with the other two fixation methods, the incidence of urethral orifice oozing and bladder spasm in patients with urinary catheter fixed in the abdomen was not statistically different (p=0.563). The proportion was significantly lower than the proportion of patients with fixation on the thigh and without fixation (p=0.009). At the same time, in the NRS pain score of patients in the supine, sitting and standing positions under three different immobilization methods, the incidence of pain with the urinary catheter fixed in the abdomen minimum. Conclusion: In this study, for patients with indwelling urinary catheters after urological surgery, the comfort of urinary catheter fixation in the abdomen is significantly better than that in patients with inner thigh and no external fixation.

Urethral catheter; fixation method; comfort; pain