Family assistance is crucial in postoperative care for cystostomy patients

I believe that many people are somewhat confused when they see the four words "bladder fistula". In fact, this is not a disease, but mainly refers to the pubic bladder fistula. Of course, people who are suitable for such surgery are those who have bladder problems, such as patients with acute urinary retention. So, how should patients be cared for after the operation?

Family assistance

Family members help patients to take care of themselves and encourage them to gradually do things within their ability, such as six cleans (cleaning of the mouth, face and hair, hands and feet, skin, perineum, and bed sheets), five preventions (preventing bedsores, postural hypotension, urinary tract infection, respiratory system infection, and cross infection), three nos (no feces stones, no falling from the bed, and no burns), and one management (dietary management).

Talk more and encourage more

Spend some time talking with the patient, encouraging the patient to have more hobbies, such as reading, watching TV, listening to the radio, etc., and take appropriate walks outdoors. Keep the bladder stoma tube unobstructed and the stoma dressing dry. Change the dressing every day in summer, and increase or decrease it according to the situation in other seasons. Observe the skin condition outside the stoma, go to the hospital to change the stoma tube every month, and change the drainage bag every week. If contaminated, change it at any time. Instruct the patient to urinate at the bottom of the urine bag. The urine bag should not be higher than the stoma. When changing the urine bag, urinate first and then change the bag to prevent retrograde infection caused by urine reflux. The urine bag can be fixed to the clothes with a pin. When going out, the urine bag can be placed in a special cloth bag at an appropriate height.

Eat light food and easily digestible food

Patients are encouraged to eat light, easily digestible food and maintain smooth bowel movements to avoid straining during defecation, which may cause wound bleeding and fistula prolapse due to excessive abdominal pressure. Eating more foods rich in protein and vitamins is beneficial to the recovery of cell tissue and the function of nourishing nerves. Avoid eating animal viscera, high calcium, and high oxalate foods to prevent the formation of stones. Drink plenty of water, and the daily amount of water should be evenly distributed to dilute urine and flush the urinary tract.