Nursing of urinary incontinence (nursing of patients with urinary incontinence)
Urinary incontinence is caused by the urethral sphincter that can control the bladder to urinate. Urinary incontinence can be divided into complete urinary incontinence (true urinary incontinence) and partial urinary incontinence (false urinary incontinence). Urinary incontinence brings great inconvenience to patients’ lives and seriously damages their self-esteem. Nursing staff should give holistic care to patients during treatment:
(1) Caring and understanding for patients. Patients with urinary incontinence often have concerns about drinking water and tend to automatically reduce the amount of drinking water, which easily increases the chance of urinary tract infection. Explain to the patient the necessity of urine *** urination reflex, and keep the fluid intake at about 2000-2500ml per day. Limit water intake before bedtime to reduce nighttime urine output.
(2) Formulate a bladder function training plan and guide patients to do *** muscle contraction and relaxation exercises several times a day.
(3) Observe the patient’s urination response and assist in regular urination. Start every 2-3 hours and gradually increase the interval to help it regain control.
(4) Keep the skin clean and hygienic. Soaking the skin with urine for a long time will soften the cuticle of the skin and lose its normal defense function. This, combined with the damaging effect of the ammonia in the urine on the skin, can cause rashes and even bedsores. Keep the skin clean and dry, wash it in time, and change clothes, diapers, and bed sheets frequently. Apply an appropriate amount of ointment to protect the skin.
(5) External drainage. For some patients who cannot control urinary incontinence, external drainage can be used to prevent urine leakage. Male patients can use a breast pump with a hose to catch the urine; female patients can use a breast pump with a hose attached to receive the urine. Patients can also be asked to sit on the toilet at regular intervals to consciously control or induce urination.