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Nursing Points of Patients With Urinary Incontinence

Apr 02, 2019

Try to get the urine: For female patients, a female urinal can be used to close the vulva to the urine or use a diaper. For male patients, urine can be placed in the urinal, or the condom can be used to connect the drainage bag to receive urine.


Indwelling catheter drainage: Indwelling catheters are given to patients with severe urinary incontinence or special treatment. If it is necessary to indwell the catheter for a long time, regular urinary catheter care should be performed.


Observing urination reaction: In patients with overflow urinary incontinence, bloating may occur during bladder filling. The nurse should be good at observation and try to help the patient to urinate before the urine overflows. For chronic diseases or elderly patients, assisting in urinating every 2 to 3 hours, properly squeezing the bladder, and consciously helping to control urination.


Psychological care: Patients with urinary incontinence have great psychological pressure, often feel inferior, do not interact with others, and expect to be understood and helped. Nurses should respect the patient's personality and give spiritual comfort.


Skin Care: Keep your skin clean and dry. Use a disposable pad on the bed or use a disposable pad. Regularly wash the perineum with warm water to prevent hemorrhoids.


Health Guidance: Explain to the patient that drinking more water promotes urination reflex, and that it takes 2000-3000 ml of liquid per day, restricting drinking water before going to sleep to reduce nighttime urine output. Train the bladder function, and let the patient urinate every 1~2h from the beginning. With the palm of the hand, the force is continuously pressed downward from the top of the bladder, so that the urine in the bladder is passively discharged. Later, the urination time is gradually prolonged, and the pelvic floor muscles are trained to promote the recovery of urination function.