Senior Staff Nurse BATY NG BEE LIAN, Singapore (Social continence) 1. 2. 3. 4. 5. 1. / 2. 3. 4. 1. / /
( 1) a. (dribble pouch) - b. (stay dry pad) 15 150 1. - ( 2) a. (2 piece pad system) 200 300 b. (belted undergarment)
2. a. (all in one diaper) 500 1 b. /(protective undergartment)/ (disorientated)
3. - 2. (Bedding protection) ( ) 3. (collection devices) (urosheath) Urosheath (condom catheter) (penile sheath) (male external catheter) 24-48 ( 4) 4. (condom catheter)
Urosheath (retreated penis) 4. (catheter) (polyvinyl chloride-pvc) a. Foley Foley (atonic bladder) Foley b. (Nelaton catheter) Nelaton Nelaton (catheters) 1920 (Cule 1980) (Foley) (closed sterile system) 1930 Frederick Foley Charles Russell Bard (Newman, Blackwood 1991)
1. a. b. c. 2. ( (congestive heart failure) ) 3. 3 4 ( pressure ulcer) (Newman 2002) 图 10a 导 ( 约 2 ) 1. 胶 导 间 会 选 间 导 2. 导 胶 内 学 结 组 胶 点 图 10b 导 ( 约 6 ) 胶 胶 导 (Bard Biocath) 迹 组 织 (compatible) 导 独 顺 减 创 伤 (encrustation) 细 (colonization) 这 较 险
图 10c 长 导 ( 约 2-3 个 ) 100% 胶 导 内 减 们 较 胶 带 胶 导 较 内 较 ( 10a, b, c) 1. 2. (Size) Charriere (Ch) French Gauge (FG) (mm) 2mm 14FG 14mm 12,14 16FG (erosion) (stricture) (Newman, 2002) 8FG 18FG (urethral folds) (Pullen, 1982) 3. (balloon size) 5-10 (ml) 10ml 30ml ( 11)
11.,, (Drainage system) 1. (leg bag) 350ml 500ml 750ml ( ) ( ) ( 12) 2. (night bag) 2 ( 13) 12. 13. (drainage bag) (Jenner 1983) (Reid 1982) 5 7 (DHSS 1990) (Lindsay 1976 Schaberg 1976) 1.
(paraurethral glands) (Norton 1996) 2. 3. (Hematuria) (clot retention) 4. (infection) C 5. (erosion of bladder wall) (shrink) (collapse) (catheter valve) (Roe 1990) 6. (No drainage) (fecal impaction) 7.
14. (Proteus spp) (Pseudomonas spp) (E. Coli) (Klebsiella spp) 酶 酶 (Kristiansen 1983)
/ / 1. 1500 2000 2. 3. 4. 5. 6. 7. 8. (aids to continence) (commode) (urinal) (bedpan) ( 5a, 5b, 5c, 6, 7, 8, 9) 5a, b, c. 6, 7.
8, 9.