Nursing methods for cystostomy tube

Patients with cystostomy tubes should not feel inferior or give up on themselves. In fact, as long as they pay more attention in their daily lives, they can study and live like normal people. They can also shoulder social responsibilities and make their own contributions to society. At the same time, we should not look down on those who wear cystostomy tubes. We should treat them equally and provide them with a good social atmosphere, because they are also members of society and can support themselves through work. Below we will introduce in detail the care methods of cystostomy tube.

1. Wearing and maintenance of lumbar urine bag after radical cystectomy

The lumbar urine bag for radical cystectomy consists of an upper urine collecting cover and a connected lower urine storage bag. The urine collecting cover is buckled on the stoma of the abdominal wall and fixed with a fixing belt or adhesive. The stoma must be located in the center of the urine collecting cover. The urine flowing out through the fistula is collected by the urine collecting cover and flows into the urine storage bag, and the urine in the urine storage bag is discharged at a regular interval.

2. Protection of the fistula nipple

A good nipple at the fistula opening helps collect urine and prevent urine leakage. It also helps reduce dermatitis around the fistula opening and should be properly protected. If the urine collecting cover is not fixed in the right position, it may squeeze the nipple and cause the nipple to deviate and retract. The friction with the urine collecting cover is one of the causes of nipple erosion and bleeding. Therefore, the urine collector should be placed in a moderate position and properly fixed without shifting, so that the nipple is centered without pressure or friction, which is the main measure to protect the nipple.

3. Prevention and treatment of dermatitis around fistula

Long-term urine immersion can easily cause dermatitis around the fistula. Applying zinc oxide ointment on the skin around the fistula can protect the skin. Remove the urine collection cover once a day to expose the fistula, dry the skin around the fistula, and irradiate it with an incandescent lamp for 20 minutes to prevent and treat dermatitis. It also helps prevent and treat nipple erosion.

4. Regular dilation of the fistula

Chronic inflammation caused by long-term stimulation of urine can lead to fistula stenosis, urinary tract infection and renal damage. Therefore, fistula dilation should be performed regularly every 1-3 months. A sterile glove can be inserted into the fistula with the little finger and through the entire layer of the abdominal wall. It is initially performed by medical staff, and then gradually expanded by the patient himself.

In the above, we have introduced in detail the care methods of cystostomy tubes. We hope that it will be helpful to patients wearing cystostomy tubes. Patients wearing cystostomy tubes must have a positive attitude towards life and have full confidence in life. They must face the ups and downs of life with a sunny attitude, which will be of great benefit to their physical recovery.