英文摘要 |
Objectives. To evaluate our novel indwelling bladder catheter securing device against the Taipei Veterans General Hospital (VGH) indwelling bladder catheter securing device and the paper tape method. Methods. The VGH indwelling bladder catheter securing device used in Department of Urology, Taipei VGH, Taiwan consists of a low-allergy adhesive retention sheet, cloth tape, and a long gauze tape. Based on this VGH device, we developed a novel approach to fixation using a low-allergy adhesive retention sheet and two long cotton straps. To test it, we enrolled 39 patients with indwelling bladder catheters from our chronic respiratory ward and intensive respiratory ward in this study. We used questionnaires to compare the catheter fixation effects and the skin allergic reactions among the three catheter fixation methods. Results. Among the patients, 13, 4, and 0 were allergic to the paper tape, VGH device, and novel device, respectively. The responses to the novel device were more positive than to the VGH device and paper tape in all aspects (p<0.001). Conclusion. Our low-allergy adhesive retention sheet plus cotton straps approach to securing the indwelling bladder catheters was superior to the VGH device and paper tape. The patients’ caregivers can easily construct our device with relatively low cost materials and affix the catheter with higher stability and a lower risk of skin allergies. |