膀胱訓練（中英文版）

因為在網路上所能找到的中英文衛教單張較少，之前所推薦一些不錯的中英文衛教單張網站又已無法連結，因此補充一些中英文對照的衛教單張於部落格上提供參考，您可至桃園縣長照中心所下載英文衛教單，因為是全英文的衛教單，因此在這補充中文說明方便對照！

THE CHAPTER ON URINARY BLADDER CONTROL TRAINING 膀胱訓練篇

HOW TO HELP HIM/HER TO CONDUCT URINARY BLADDER CONTROL TRAINING?
如何幫助他膀胱訓練
The aim of urinary bladder control training is to train up the bladder function of your family member. This helps him/her to perform self-urination preparation before taking away the urinary catheter.
膀胱訓練的目的，是訓練您的家人在拔除尿管前的膀胱功能以讓他做好自解小便的準備

TWO METHODS OF URINARY BLADDER CONTROL TRAINING　膀胱訓練有二種方法
(1) For urinary incontinence patient:小便失禁者
Amid regular time interval, assist the patient to the bathroom, use the potty chair, or bed pan and urinal. Allow him/her to start urinate 15 to 20 minutes afterward.
Pay attention to his/her privacy, and help him/her to sit up to ease emptying the bladder by gravity mean.
在規律的間隔時間中，協助他到浴室或使用便盆椅，或床上用便盆及尿壺；而且允許他在15至20分鐘後才開始解尿，應注意他的隱私，並協助他坐起，較易利用重力幫忙排空膀胱
(2) Insertion of catheter containing urine residual:插有存留導尿管者
1.Use a clamp or rubber band to tie up urinary catheter at the position as shown in diagram 1.利用管夾或橡皮筋將尿管綁緊，位置如圖一
2.The clamp-on time of catheter is about an hour. At the end, the patient may be able to tolerate clamp-on time two to three hours, or perhaps three to four hours.導尿管夾緊的時間約一小時，到最後他可能忍受夾的時間二至三小時，甚至三至四小時
3.The second clamp-on time is 20 to 30 minutes, and then release catheter to urinate.二次夾緊時間，可放開尿管20至30分鐘，讓小便排出
4.Pay attention to him/her training reaction and discuss with homecare attendant .隨時注意他訓練時的反應，並與居家護理師討論

NOTE　注意事項
1.Stop the training if the following situations happen: Urethra infection, cloudy urine, hematuresis or fever(higher than 38℃).當有下列情況時停止訓練：泌尿道感染、小便呈白色混濁、血尿、發燒 (38℃以上)
2.Stop the night training temporary to prevent urination time delay, resulting in urine retention to affect the bladder function.夜間暫停訓練，以防時間延遲致尿瀦留，影響膀胱功能
3.Encourage the patient to take in enough water to reduce the chance of urethra infection or the formation of urethra calculus. Unless there is water restriction due to illness, if not the water intake amount is at lease 3000cc daily.鼓勵攝取足夠水份，以減少泌尿道發炎，或泌尿道結石的發生，除非有限水的疾病禁忌，否則每天至少攝取3000cc的水份