American Journal of Nursing Science

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The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy

Received: 13 January 2020    Accepted: 20 February 2020    Published: 06 March 2020
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Abstract

Objective To explore the best time to remove the indwelling urinary catheters after laparoscopic partial nephrectomy (LPN), laparoscopic adrenalectomy (LA) or laparoscopic nephrectomy (LN) so as to reduce the indwelling time of nontherapeutic catheters and thus reduce postoperative complications and enhance recovery. Methods We included 140 patients who have undergone laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy and received indwelling urinary catheters during the operation in the Department of Urology in our hospital from January 2019 to December 2019. The patients were averagely randomized into control group and observation group. The indwelling urinary catheters in the control group were kept for 3 d and then nurses removed the catheters following the doctor’s advice. In the observation group nurses removed the urinary catheters following the removal procedures after assessing the indications of removal of urinary catheters and necessity of keeping the catheters. After operation, the time of keeping the indwelling urinary catheters, first leaving bed, first passage of gas by anus, average hospital stay, occurrence of constipation and score of painful urination were compared between the two groups. Results In the observation group, after operation, the average time of keeping the indwelling urinary catheters is 7.94±1.54 h, the average time of first leaving bed activity is 18.65±6.14 h, first passage of gas by anus is 16.18±2.44 h, and the average hospital stay is 5.71±1.93 d. Compared with control group, there is a significant difference (P< 0. 05). There is also a significant difference in the occurrence of constipation between the two groups with 6 cases in control group but 0 in observation group (χ2=4.353, P=0.037). Patients in both groups have urination discomfort to different degrees and the score of pain is significantly different between the two groups (χ2=5.079, P=0.024). Conclusions The indwelling urinary catheters for intraoperative needs are advised to remove within 12 h after laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy, which can enhance patients’ comfort level and recovery, reduce length of stay and hospitalization costs, and save medical costs.

DOI 10.11648/j.ajns.20200902.15
Published in American Journal of Nursing Science (Volume 9, Issue 2, April 2020)
Page(s) 66-69
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Laparoscopic Surgery, Indwelling Urinary Catheters, Remove Time

References
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[4] Li, L., Chen, J., Liu, Z., Li, Q., & Shi, Y. (2017). Enhanced recovery program versus traditional care after hepatectomy: a meta-analysis. Medicine, 96 (38), e8052.
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[6] Wu, S., Chen, W., Shen, L., Xu, L., Zhu, A., & Huang, Y. (2017). Risk factors for prolonged hypotension in patients with pheochromocytoma undergoing laparoscopic adrenalectomy: a single-center retrospective study. Scientific Reports, 7 (1), 5897.
[7] Fink, R., Gilmartin, H., Richard, A., Capezuti, E., Boltz, M., & Wald, H. (2012). Indwelling urinary catheter management and catheter-associated urinary tract infection prevention practices in nurses improving care for healthsystem elders hospitals. American Journal of Infection Control, 40 (8), 715-720.
[8] Rupp, M. E., Fitzgerald, T., Marion, N., Helget, V., Puumala, S., & Anderson, J. R., et al. (2004). Effect of silver-coated urinary catheters: efficacy, cost-effectiveness, and antimicrobial resistance. American Journal of Infection Control, 32 (8), 445-450.
[9] Olsen-Scribner, R. J., Hayes, C., & Pottinger, P. (2014). Sustaining reduction of catheter-associated urinary tract infection (cauti) - outcomes after two educational methods in a regional university-affiliated medical center. American Journal of Infection Control, 42 (6), S22.
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[12] Mohsen Adib-Hajbaghery, & Mohammad Aghajani. (2009). Quality of care for patients with indwelling urinary catheter in selected hospitals in kashan, iran 2007. International Journal of Urological Nursing, 3 (2), 43-49.
[13] Agarwal, B. K., & Agarwal, N. (2016). Randomized controlled trial on the efficacy of bladder training before removing indwelling urinary catheter in patients with acute urinary retention. China Biogas, 61 (2), 219-226.
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Author Information
  • Department of Urology, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Urology, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • The First Affiliated Hospital, Jinan University, Guangzhou, China

  • Department of Urology, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Urology, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Urology, The First Affiliated Hospital of Jinan University, Guangzhou, China

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    Hong Caimei, Guo Xiaoxia, Lian Huizhao, Yang Qi, Ba Longhong, et al. (2020). The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy. American Journal of Nursing Science, 9(2), 66-69. https://doi.org/10.11648/j.ajns.20200902.15

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    Hong Caimei; Guo Xiaoxia; Lian Huizhao; Yang Qi; Ba Longhong, et al. The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy. Am. J. Nurs. Sci. 2020, 9(2), 66-69. doi: 10.11648/j.ajns.20200902.15

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    AMA Style

    Hong Caimei, Guo Xiaoxia, Lian Huizhao, Yang Qi, Ba Longhong, et al. The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy. Am J Nurs Sci. 2020;9(2):66-69. doi: 10.11648/j.ajns.20200902.15

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  • @article{10.11648/j.ajns.20200902.15,
      author = {Hong Caimei and Guo Xiaoxia and Lian Huizhao and Yang Qi and Ba Longhong and Chao Xinghui},
      title = {The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy},
      journal = {American Journal of Nursing Science},
      volume = {9},
      number = {2},
      pages = {66-69},
      doi = {10.11648/j.ajns.20200902.15},
      url = {https://doi.org/10.11648/j.ajns.20200902.15},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajns.20200902.15},
      abstract = {Objective To explore the best time to remove the indwelling urinary catheters after laparoscopic partial nephrectomy (LPN), laparoscopic adrenalectomy (LA) or laparoscopic nephrectomy (LN) so as to reduce the indwelling time of nontherapeutic catheters and thus reduce postoperative complications and enhance recovery. Methods We included 140 patients who have undergone laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy and received indwelling urinary catheters during the operation in the Department of Urology in our hospital from January 2019 to December 2019. The patients were averagely randomized into control group and observation group. The indwelling urinary catheters in the control group were kept for 3 d and then nurses removed the catheters following the doctor’s advice. In the observation group nurses removed the urinary catheters following the removal procedures after assessing the indications of removal of urinary catheters and necessity of keeping the catheters. After operation, the time of keeping the indwelling urinary catheters, first leaving bed, first passage of gas by anus, average hospital stay, occurrence of constipation and score of painful urination were compared between the two groups. Results In the observation group, after operation, the average time of keeping the indwelling urinary catheters is 7.94±1.54 h, the average time of first leaving bed activity is 18.65±6.14 h, first passage of gas by anus is 16.18±2.44 h, and the average hospital stay is 5.71±1.93 d. Compared with control group, there is a significant difference (P2=4.353, P=0.037). Patients in both groups have urination discomfort to different degrees and the score of pain is significantly different between the two groups (χ2=5.079, P=0.024). Conclusions The indwelling urinary catheters for intraoperative needs are advised to remove within 12 h after laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy, which can enhance patients’ comfort level and recovery, reduce length of stay and hospitalization costs, and save medical costs.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy
    AU  - Hong Caimei
    AU  - Guo Xiaoxia
    AU  - Lian Huizhao
    AU  - Yang Qi
    AU  - Ba Longhong
    AU  - Chao Xinghui
    Y1  - 2020/03/06
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajns.20200902.15
    DO  - 10.11648/j.ajns.20200902.15
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 66
    EP  - 69
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20200902.15
    AB  - Objective To explore the best time to remove the indwelling urinary catheters after laparoscopic partial nephrectomy (LPN), laparoscopic adrenalectomy (LA) or laparoscopic nephrectomy (LN) so as to reduce the indwelling time of nontherapeutic catheters and thus reduce postoperative complications and enhance recovery. Methods We included 140 patients who have undergone laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy and received indwelling urinary catheters during the operation in the Department of Urology in our hospital from January 2019 to December 2019. The patients were averagely randomized into control group and observation group. The indwelling urinary catheters in the control group were kept for 3 d and then nurses removed the catheters following the doctor’s advice. In the observation group nurses removed the urinary catheters following the removal procedures after assessing the indications of removal of urinary catheters and necessity of keeping the catheters. After operation, the time of keeping the indwelling urinary catheters, first leaving bed, first passage of gas by anus, average hospital stay, occurrence of constipation and score of painful urination were compared between the two groups. Results In the observation group, after operation, the average time of keeping the indwelling urinary catheters is 7.94±1.54 h, the average time of first leaving bed activity is 18.65±6.14 h, first passage of gas by anus is 16.18±2.44 h, and the average hospital stay is 5.71±1.93 d. Compared with control group, there is a significant difference (P2=4.353, P=0.037). Patients in both groups have urination discomfort to different degrees and the score of pain is significantly different between the two groups (χ2=5.079, P=0.024). Conclusions The indwelling urinary catheters for intraoperative needs are advised to remove within 12 h after laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy, which can enhance patients’ comfort level and recovery, reduce length of stay and hospitalization costs, and save medical costs.
    VL  - 9
    IS  - 2
    ER  - 

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