Effect of Foot bath care on Improvement of Postoperative Dysuria

足浴护理对改善术后排尿困难的效果

• 批准号: 12672272
• 负责人: TOYODA Kumiko
• 金额: $ 1.92万
• 依托单位: SHIGA UNIVERSITY OF MEDICAL SOENCE
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2000
• 资助国家: 日本
• 起止时间: 2000 至 2001
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-12672272/
• 关键词: Foot bath care; postoperative; Dysuria; An indwelling urinary catheter; the autonomic nervous system; Natural urine discharge; 経尿道留置カテーテル; 術後排尿困難

(1) After a 15-minute footbath one subject showed a 134 ml increase of urinary output.The effects of footbath on the improvement of postoperative dysuria have been verified and the following findings obtained.1. Foot bath were conducted for 20 minutes on 11 healthy adults using the latest, sealed type of footbath with the following results.(1) Urinary output and increment increased significantly 40 minutes after the footbath. Five subjects presented noticeable urinary output of 319 to 580 ml during the 90-minute examination, and there was a positive correlation between the rate of change of fingertip temperature and the increment size of urinary output.(2) With regard to the autonomic nervous system, there was a positive correlation between' the rate of change of HF (parasympathetic nervous system) and the increment size of urine output in the 6 subjects whose urine output increased gradually.The above findings indicate that the footbath improves precapillary circulation, enhances rela … More xation, and increases urine output.2. Thirty-two people who had undergone general anesthesia during an operation and experienced insertion of an indwelling urinary catheter were interviewed in order to understand their behavioral processes and recognition of such processes before the first urine discharge.(1) Their behavioral processes have been classified into 6 patterns: "Comparing present status with past experience"; "Trying to avoid past disgusting experience" ; "Making good use of past experience"; "Fearing that something negative they had seen or heard might happen to themselves"; "Checking with the medical professional about the present experience point by point"; "In their inexperience, leaving all to the medical professional".(2) The recognition of such behavioral processes was based upon: "whether or not the patient has experienced the insertion of indwelling urinary catheter," and "whether the patient is affirmative, negative, or uncertain depending on what they had seen or heard, or neither affirmative nor negative."(3) Problems of difficult urination experienced before the first urinary discharge covered: When to urinate, where to urinate, suitable clothing, appropriate posture, fluctuation of call of nature, delay of urinary discharge, lessening of urinary flow, and insufficient feeling of relief.3. Footbath used on 3 patients with dysuria after operations resulted in the following:(2) The parasympathetic nervous system was activated both by sensing comfort through bathing their feet in hot water and by moving their feet freely.Foot bath care made the subjects feel that they were recovering, serving as a turning point for them to take the initiative in improving their situation. Less

(1)一名受试者经过15分钟的足浴后，尿量增加了134毫升。足浴对改善术后排尿困难的效果已经得到验证，得到以下结果： 1．采用最新型密封式足浴盆对11名健康成年人进行足浴20分钟，结果如下：（1）足浴后40分钟尿量和尿增量显着增加。 5名受试者在90分钟的检查中出现明显尿量319～580ml，指尖温度变化率与尿量增量大小呈正相关。(2)在自主神经系统方面，6名尿量逐渐增加的受试者中，HF(副交感神经系统)变化率与尿量增量大小呈正相关。 上述研究结果表明，足浴可改善毛细血管前循环，增强松弛，增加尿量。2．对32名在手术期间接受全身麻醉并经历留置导尿管插入的人进行访谈，以了解他们在第一次排尿前的行为过程和对这种过程的认识。（1）他们的行为过程被分为6种模式：“将当前状态与过去的经历进行比较”； “努力避免过去令人厌恶的经历”； “充分利用过去的经验”； “担心他们看到或听到的负面事情可能会发生在自己身上”； “与医疗专业人员逐条核实目前的经历”； “在他们缺乏经验的情况下，一切都交给医疗专业人员”。（2）对此类行为过程的认识基于：“患者是否经历过留置导尿管的插入”以及“患者是否根据所见所闻做出肯定、否定或不确定，或者既不肯定也不否定。”（3）在首次排尿之前经历的排尿困难问题：何时排尿，在哪里排尿，合适的衣服，合适的衣服 姿势、天性波动、排尿延迟、尿流量减少、舒缓感不够。3． 3例术后排尿困难患者使用足浴，结果如下：（2）通过热水泡脚感受舒适感和自由活动足部，副交感神经系统被激活。足浴护理使受试者感觉到自己正在康复，成为他们主动改善状况的转折点。较少的