第三十章︰失禁器具,辅助设备及导尿管SeniorStaff

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SeniorStaffNurseBATYNGBEELIAN,Singapore(Socialcontinence)1.2.3.4.5.1./2.3.4.1.//(1)a.(dribblepouch)-b.(staydrypad)151501.-(2)a.(2piecepadsystem)200300b.(beltedundergarment)2.a.(allinonediaper)5001b./(protectiveundergartment)/(disorientated)3.-2.(Beddingprotection)()3.(collectiondevices)(urosheath)Urosheath(condomcatheter)(penilesheath)(maleexternalcatheter)24-48(4)4.(condomcatheter)Urosheath(retreatedpenis)4.(catheter)(polyvinylchloride-PVC)a.FoleyFoley(atonicbladder)Foleyb.(Nelatoncatheter)NelatonNelaton(catheters)1920(Cule1980)(Foley)(closedsterilesystem)1930FrederickFoleyCharlesRussellBard(Newman,Blackwood1991)1.a.b.c.2.((congestiveheartfailure))3.34(pressureulcer)(Newman2002)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(BardBiocath)–迹组织(compatible)导独顺减创伤(encrustation)细(colonization)这较险(10a,b,c)1.2.(Size)Charriere(Ch)FrenchGauge(FG)(mm)2mm14FG14mm12,1416FG(erosion)(stricture)(Newman,2002)8FG18FG(urethralfolds)(Pullen,1982)3.(balloonsize)5-10(ml)10ml30ml(11)图10c长导(约2-3个)100%胶导内减们较胶带胶导较内较11.,,(Drainagesystem)1.(legbag)350ml500ml750ml()()(12)2.(nightbag)2(13)12.13.(drainagebag)(Jenner1983)(Reid1982)57(DHSS1990)(Lindsay1976Schaberg1976)1.(paraurethralglands)(Norton1996)2.3.(Hematuria)(clotretention)4.(infection)C5.(erosionofbladderwall)(shrink)(collapse)(cathetervalve)(Roe1990)6.(Nodrainage)(fecalimpaction)7.14.(Kristiansen1983)(Proteusspp)(Pseudomonasspp)(E.Coli)(Klebsiellaspp)酶酶//1.150020002.3.4.5.6.7.8.(aidstocontinence)(commode)(urinal)(bedpan)(5a,5b,5c,6,7,8,9)5a,b,c.6,7.8,9.

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