The use of a homemade rate adjustment card in patients with continuous bladder irrigation after transurethral resection of the prostate

Abstract

Background: In China, the incidence of benign prostatic hyperplasia (BPH) is rising with the average lifespan of men. Transurethral resection of the prostate (TURP) is recognized as the gold standard for surgical treatment of BPH. Continuous bladder irrigation (CBI) is often required after operation. The irrigation rate is often manually adjusted based on the color of the drainage fluid, but it is difficult to know how much to adjust it based on color. To better adjust the irrigation rate and reduce related complications, we developed and evaluated a post-TURP CBI rate adjustment card. Methods: A total of 103 BPH patients who underwent post-TURP CBI at our hospital between April and July 2020 were enrolled in this study and were assigned to the control group (n=49) or the experimental group (n=54) according to the different hospital areas. In the control group, the CBI rate was adjusted based on the clinical evaluation of the color of the drainage fluid; in the experimental group, the CBI rate was adjusted based on the color of drainage fluid evaluated with our homemade post-TURP CBI rate adjustment card. Results:The incidence of bladder spasm, the incidence of clot-related catheter blockage, the volume of irrigation solution used, and the irrigation time were significantly lower or shorter in the experimental group than in the control group. The patient satisfaction score was significantly higher in the experimental group (P<0.05). Conclusions:For BPH patients receiving post-TURP CBI, the homemade post-TURP CBI rate adjustment card can provide objective data for clinical care, reduce postoperative complications, and improve patient satisfaction. Therefore, it should be more widely used in clinical practice.

Construction of a nursing solution to prevent and control urinary tract infection in the early stages of kidney transplantation

“…After the second round of consultation, "psychological intervention" was changed to "psychosocial intervention" in the first-level index, and "avoid bladder irrigation" was changed to "minimize bladder irrigation, and if necessary, refer to the color of the drainage fluid and the corresponding irrigation rate on the post-TURP CBI rate adjustment card (17)" in the second-level index. The results of the second round of expert consultation are shown in Table 2.…”

Construction of pelvic floor muscle rehabilitation training program for patients undergoing laparoscopic radical prostatectomy

“…Therefore, we must accurately grasp the training time point, and measure need to be promptly taken should bleeding occur. One of the common methods is bladder flushing, and it is recommended to refer to the continuous bladder flushing speed control card ( 25 ).…”

The Consistency Testing and Improving of A Hematuria Colorimetric Card

“…On the other hand, bladder irrigation is often carried out to reduce postoperative complications in patients with hematuria after urology [15][16], but too fast irrigation will increase intravesical pressure, and high velocity will cause certain stimulation to the bladder wall. Enhancing parasympathetic excitability is a very important risk factor for bladder spasm [17]. As a result, the correct and reasonable adjustment of washing speed can improve nursing quality and bring relatively comfortable experience to patients [18].…”