CN218185390U - Catheter patient trousers capable of preventing urinary catheter related urinary tract infection - Google Patents

Abstract

The utility model discloses a can prevent catheter patient trousers of catheter relevance urinary tract infection, it includes the trousers body, trousers body upper end is flexible waist taut band, and the positive intermediate position in front of the trousers body is provided with the front opening, sets up preceding two-way zip fastener of opening on the front opening, is provided with the side opening on the side seam strip position of trousers body, establishes the side on the side opening and opens two-way zip fastener, and side opening upper end and middle frenulum and lower frenulum are provided with respectively relatively, go up frenulum and lower frenulum one end and link to each other with the trousers body, and the other end is free state or links to each other with urine collecting bag when not using, and the side opening lower part of trousers body is provided with the pocket that can hold urine collecting bag, the utility model is simple structure not only comfortable, convenient to use, can effectual protection patient privacy and firm catheter of keeping somewhere, prevent to turn over, distortion and adverse current catheter, can prevent and reduce CAUTI's incidence, promote treatment, and application range is wider, is fit for the patient of various bodily forms keeping somewhere the catheter and uses.

Description

Catheter patient trousers capable of preventing catheter-associated urinary tract infection

technical field

The utility model relates to a medical device, in particular to a catheter patient trousers which are mainly used to prevent and reduce catheter-related urinary tract infection.

Background technique

In the hospital, indwelling catheterization is the most common clinical basic operation, and it is widely used in the urine output observation of patients with dysuria, anesthesia, and surgery, as well as in critically ill patients. The urinary tract infection caused by indwelling catheterization is called catheter-associated urinary tract infection (CAUTI for short), and the incidence of CAUTI in nosocomial infection is relatively high (the incidence in the hospital is about 40%), and its incidence is similar to that of The indwelling time of the urinary catheter is proportional to the relationship, and 65%-70% of CAUTI can be prevented. Complications of CAUTI will cause discomfort and pain to the patient, affect the treatment and recovery of the patient, prolong the hospital stay, increase the economic burden of the patient and family, increase additional medical costs, and even cause death.

At present, among the CAUTIs that occur in the hospital, some of them (about 30-40%) are related to nursing measures, and most (60-70%) are related to the reflexion, twisting, reflux and For this reason, in addition to adopting some optimized nursing measures, the hospital also uses catheter trousers to effectively intervene and control patients with indwelling catheters for ≥ 3 days, so as to prevent and reduce the incidence of CAUTI.

At present, most of the catheter trousers used in hospitals are of an ordinary and traditional type. Most of the ordinary traditional catheter pants use pins to fix the catheter on the trousers. The main disadvantages of this ordinary traditional catheter trousers are: 1. It is not conducive to drainage. The catheter is inserted into the bladder from the urethra and fixed, and the drainage tube is drained from the waist of the trousers. Intermittent drainage, the drainage position is higher than the level of the bladder, which is likely to cause backflow of urine and increase the infection rate of CAUTI. 3. During the indwelling catheter, you must closely observe the indwelling catheter and do urethral opening care. Every time you do it, you must take off your pants, which not only increases the patient’s pain, but also exposes the patient’s privacy; 4. Ordinary patient pants do not have ties , the patient must use pins to fix the drainage bag when getting out of bed. Two kinds of catheter trousers have been reported in related patents. The first catheter trousers is provided with a pocket for placing a urine collection bag on the trouser body. The urine collection bag is relatively fixed in the pocket to avoid the risk of leakage or infection. However, because the catheter outlet of the first type of catheter trousers is located close to the upper edge of the pubic bone, urine flow in the catheter will also be blocked. Unobstructed, even reverse (reverse) flow of urine, increased urine outflow resistance, and increased incidence of CAUTI; the second type of catheter pants is provided with an opening in the middle of the front of the trousers, and one end of the catheter is inserted into the bladder and fixed externally. , the other end is led out of the trousers through the opening and connected with the urine collection bag, which is placed in the pocket on the side of the trousers. The second type of catheter trousers has problems: first, the catheter will be exposed outside, which will affect the image of the patient , can not protect the patient's privacy; the second is that the catheter is fixed on the trousers with a snap ring. Although the catheter is well fixed, the snap ring will inevitably compress the catheter and affect the flow of urine, which is not conducive to Prevent and control the occurrence of CAUTI.

Utility model content

Aiming at the problems existing in the common traditional catheter trousers in the prior art and the two catheter trousers in the patent, the utility model provides a catheter trouser that is not only simple and comfortable in structure, but also easy to use, which can effectively protect the privacy of patients and stabilize the indwelling urinary catheter. , to prevent reflexion, twisting and reflux of the urinary catheter, can prevent and reduce the incidence of CAUTI, improve the treatment effect, and have a wide range of use, suitable for patients with indwelling urinary catheters of various shapes.

The technical solution of the technical problem to be solved by the utility model is: a kind of catheter patient trousers which can prevent urinary catheter-related urinary tract infection, which includes a trouser body, and the upper end of the trouser body is a stretchable waist belt, A rectangular front opening is provided in the middle of the trouser body between the intersection of the elastic waist belt and the trouser barrel. The front opening is provided with a front-opening two-way zipper, and a side opening is provided on the side seam of the trouser body. The upper end of the side opening is located in the middle of the front opening, the side opening is provided with a side opening two-way zipper, the height of the side opening is not less than the height of the front opening, and the upper end and the middle of the side opening are respectively provided with an upper tie and a lower tie. One end of the lace and the lower lace is connected to the trousers body, the other end is free when not in use, and is connected to the urine collection bag through the lace limit ring fixed on the trousers body when in use. The lower part of the side opening A pocket capable of accommodating the urine collection bag is provided, and a guide ring for limiting and supporting the urinary catheter is provided at intervals on the inside of the front of the trousers between the front opening and the side opening, and the guide ring is from the end close to the side opening to the One end of the front opening gradually rises in a circular arc shape.

Compared with the prior art, the utility model has the following characteristics:

1. The utility model is divided into three specifications: large, medium and small according to the size of the waist circumference of the human body, and the waist is set as a stretchable tight belt to suit people of various body types.

2. The utility model is provided with a rectangular front opening in the middle of the front of the pants body, which is convenient for the placement of the catheter, for patients to clean the urethra and for medical staff to check the urethral opening and perineum, etc. It can also prevent patients from taking off their pants to check and change dressings, and reduce the burden on patients. pain and tearing conditions,

3. The utility model is provided with a rectangular side opening on the side seam of the trousers body, and the position of the side opening is lower than that of the front opening, so that the lower end of the urinary catheter protrudes from the side opening in a downward arc shape, and at the same time due to On the inner surface of the trousers body between the front opening and the side opening, a guiding ring for supporting and limiting the urinary catheter is set. The lower part is normally bent and does not move, so that the urine flows smoothly and quickly into the urine collection bag, which effectively prevents the catheter from reflexing, twisting and reflux, which can prevent and reduce the incidence of CAUTI and improve the treatment effect; Because the guide ring used for catheter support and positioning is located on the inner side of the pants body, the catheter is not exposed outside the pants body, which does not affect the appearance of the patient and protects the privacy of the patient;

4. The utility model has side openings on the seams on both sides, and upper and lower frenulums are respectively arranged on the upper end and the middle of the side openings. The upper frenulum is located below the bladder, which can reduce unplanned extubation and effectively To prevent urinary reflux during treatment.

The beneficial effect that the utility model obtains:

1. The utility model is not only simple and comfortable in structure, but also easy to use. It can effectively protect the patient's privacy and securely place the urinary catheter, prevent the catheter from reflexion, twisting and reflux, and can prevent and reduce the incidence of CAUTI and the infection of CAUTI. The rate is ≤10%, which improves the treatment effect, and has a wide range of applications. It is suitable for patients with indwelling urinary catheters of various shapes, improves the satisfaction of patients with medical staff, and expands the influence of hospital nursing services.

2. The utility model has left and right double-opening zippers and guide rings for supporting and limiting the catheter on the inner surface of the trousers body. The urinary catheter bends downward normally and does not move, so that the urine flows smoothly and quickly into the urine collection bag, which is beneficial to the drainage of the catheter and prevents the pipe from being folded and twisted; the left and right ties are used to fix the urine collection bag to reduce unplanned extubation. Because the frenulum is located under the bladder, it can effectively prevent urine reflux;

3. When the utility model is in use, it can not only reduce the work pressure of clinical nurses, but also integrate a series of effective nursing measures, so that nurses can implement various measures for preventing CAUTI with evidence-based, simple operation and continuous effectiveness , but also enable patients to receive the best care.

The utility model aims at the problems existing in the catheter trousers in the prior art, proposes a technical solution to solve the above problems, and obtains beneficial effects, the technical problems, technical solutions and beneficial effects, the causal relationship among the three There is no doubt that they are corresponding and adaptable, and have an internal logical relationship. The technical problem is objectively existing and clear in the existing technology. The technical measure is feasible for the technical problem. The beneficial effect is that the adoption of the technical measure is inevitable The technical effects that will be produced, the three are interdependent and interrelated.

Description of drawings

Fig. 1 is a schematic diagram of the main view structure of the utility model,

Fig. 2 is a schematic diagram of the partial structure of direction A in Fig. 1,

Fig. 3 is a schematic diagram of a partial cross-sectional structure along B-B in Fig. 1 .

In the figure, 1, telescopic tight waist belt 2, front opening two-way zipper 3, front opening 4, side seam strip 5, guide ring 6, upper tie belt 7, tie limit ring 8, side opening two-way zipper 9, Lower frenulum 10, pocket 11, trousers back 12, trouser leg barrel 13, trousers front 14, catheter 15, urine collection bag 16, side opening.

detailed description

In the figure, a kind of catheter patient trousers that can prevent catheter-associated urinary tract infection includes a trouser body, and the upper end of the trouser body is a stretchable waist belt 1 (also can be made of a buckle). An upright rectangular front opening 3 is provided at the middle of the trouser body between the intersection of the waist belt and the trouser leg bucket 12, and the front opening is provided with a front opening two-way zipper 2 (which can be pulled upwards and downwards simultaneously or Separately pull upwards or downwards to facilitate one end of the catheter to be inserted and fixed in the bladder), an upright rectangular side opening 16 is arranged on the side seam strip 4 of the trousers body, the upper end of the side opening is located in the middle of the front opening, The side opening is provided with a side opening two-way zipper 8 (to facilitate the extraction of the other end of the catheter connected to the urine collection bag), the height of the side opening is 0.7-0.9 times the height of the front opening, the upper end of the side opening and the middle position An upper tether 6 and a lower tether 9 are respectively arranged oppositely on the top. One end of the upper tether and the lower tether is fixedly connected to the trouser body, and the other end is in a free state when not in use. When in use, it passes through and is fixed on the trouser body The frenulum limiting ring 7 is connected to the urine collection bag 15 by knotting, and according to the position of the urinary catheter on the bladder, the upper and lower rows of guide rings 5, the upper frenulum 6 and the lower frenulum 9 are used to reasonably Choose the other end of the catheter to lead out from the side opening 16, the upper tie can hang and fix the urine collection bag connected to the other end of the catheter drawn from the upper part of the side opening, and the lower tie can draw the bag out from the side opening or the lower part. The urine collection bag 15 connected to the other end of the urinary catheter is suspended and fixed, and the side of the lower end of the side opening of the trousers body is provided with a pocket 10 capable of accommodating the urine collection bag 15, in the trousers front 13 between the front opening and the side opening On the side (opposite to the front of the trousers is the trousers back 11) there are guide rings 5 for limiting (positioning) and supporting the catheter 14 (the catheter is made of silica gel) at intervals. One end of the opening gradually rises in an arc shape toward the end close to the front opening. Each row of guide rings on the left and right is symmetrically distributed on both sides of the front opening of the trouser body in a figure-eight shape. There are two rows of guide rings on each side, and each row uses several Only set at intervals, the guide ring is made of cloth strips to make a closed-loop type, and can also be made into an open-loop type. become.

When the urinary catheter patient trousers described in the utility model are used in clinical treatment, the following contents are for the nursing staff to refer to and pay attention to when working:

1. During the indwelling period, the catheter patient pants should be correctly worn and used. When collecting urine samples, first disinfect the bifurcation of the catheter with iodophor, and then draw urine with a 5mL syringe. Use a disposable anti-reflux urine collection bag. Urine bag terminal care: Before urinating, 75% alcohol should be used to disinfect the opening of the urine bag piston from the inside to the outside, and 75% alcohol should be used to disinfect again after urinating, and then the piston should be closed. The piston of the urine collection bag was disinfected with povidone iodine before and after urination. When urinating, the opening of the urine collection bag is prohibited from touching the urine bucket and other objects.

2. During the indwelling period, it is necessary to reasonably grasp the indications for indwelling the catheter and shorten the time of indwelling the catheter as much as possible: cooperate with the doctor to evaluate the necessity of indwelling the catheter and bladder irrigation every day. During the use of catheter patient trousers, nurses can dynamically evaluate and understand the situation of indwelling catheters anytime and anywhere on the PDA terminal. The head nurse can understand the situation of the indwelling catheter more intuitively through the PDA terminal, and can check it anytime and anywhere. When the bladder is flushed, if the joint between the catheter and the drainage tube is not thoroughly sterilized, germs can be flushed into the bladder and cause infection. Therefore, it is necessary to remove the urinary catheter as early as possible and avoid random or routine bladder irrigation to prevent and reduce the occurrence of CAUTI.

Claims (3)

1. A catheter patient trousers capable of preventing catheter-associated urinary tract infection, comprising a trouser body, the upper end of the trouser body is a stretchable waist belt (1), and the stretchable waistband and trouser leg barrel (12) There is a rectangular front opening (3) in the middle of the trousers body between the intersections, and the feature is that: the front opening is provided with a front-opening two-way zipper (2), and at the position of the side seam strip (4) of the trousers body There is a side opening (16), the upper end of the side opening is located in the middle of the front opening, the side opening is provided with a side opening two-way zipper (8), the height of the side opening is smaller than the height of the front opening, the upper end and the middle of the side opening are respectively An upper tether (6) and a lower tether (9) are oppositely arranged. One end of the upper tether and the lower tether is fixedly connected to the trouser body, and the other end is in a free state when not in use, and passes through and is fixed on the trouser body when in use. The lace limit ring (7) on the top is connected to the urine collection bag (15), and the lower part of the side opening is provided with a pocket (10) capable of accommodating the urine collection bag (15), between the front opening and the side opening Guide rings (5) for supporting and limiting the urinary catheter (14) are provided at intervals on the inner side of the trousers front (13). raised. 2. A catheter patient trousers capable of preventing catheter-associated urinary tract infection according to claim 1, characterized in that: the height of the side opening is 0.7-0.9 times the height of the front opening. 3. A catheter patient trousers capable of preventing catheter-associated urinary tract infection according to claim 1, characterized in that: the guide rings (5) are arranged at intervals, and the guide rings are made of cloth strips It can be made into a closed-loop type, or can be made into an open-loop type. The guide ring of the open-loop type is made of snap buttons, and can also be made with press buttons or slide fasteners.

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