尿管及尿袋照顧（中英文版）

如果要下載英文版的長期照護居家技巧，目前提供較完整的就是桃園縣長照中心所提供的，除了英文版外還有印尼文及越南文，是個值得推薦去看的地方，您可至桃園縣長照中心下載英文衛教單，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 CARING OF URINARY CATHETER & URINE COLLECTION BAG 尿管及尿袋照顧篇

THE CARING OF URINARY CATHETER & URINE COLLECTION BAG 尿管及尿袋的照顧
Your attentive care and cleanliness are able to help your family member to keep the free flow of urinary catheter and to lower the chance of infection! Here we provide two methods for you to choose what you like.
您的細心照顧與清潔可以讓您家人的尿管保持暢通，也可以減低他發炎的機會哦！這裏有二種方法，可以依您喜歡的方式任意選擇

SUPPLIES YOU NEED TO PREPARE 您需要準備的用物
Method 1: rinse kettle (small tea kettle) you may use paper cup or wash-cleaned PET bottle, big cotton sticks, potty...+cloth spread, beta-iodine solution and small cotton sticks.方法一：沖洗壺(小茶壺)可用紙杯或洗淨的沙拉脫瓶、大棉棒、便盆...+布單、優碘、小棉棒
Method 2: soap, towel, water basin......方法二：肥皂、毛巾、水盆

Method 1 :方法一
1.Place cloth spread and rinse kettle underneath his/her hip.將布單及便盆放在他的臀部下
2.Take the rinse kettle with one hand, pour down water at the public place from top to bottom slowly, and meanwhile use a big cotton stick to cleanse the public place from top to bottom, and from inside to outside. Do not use a cotton stick throughout but throw it away whenever it touches the anus (diagram 1).一手拿水壺，在陰部位置由上向下慢慢將水倒出，同時以大棉花棒由上而下，由內而外清潔陰部。棉花棒勿一根到底，碰觸肛門時不可再用
3.Reconnect the urinary catheter in a proper position (place in between the thighs for female patient and at the lower abdomen for male patient).重新固定好尿管位置。(女性固定於大腿內側，男性固定於下腹)
4.Remove the cloth spread and rinse kettle.將布單及便盆移除

Method 2 :方法二
1.Place the cloth spread on the edge of the hip.將布單舖於他的臀部末
2.Wet the public place, wash and rub the area with soap.將陰部打溼，塗抹肥皂後，在陰部擦洗
3.Wipe the soap off and cleanse the public place with a wet towel.以溼毛巾擦去肥皂至清潔
4.Repeat the procedures (3) and (4) of method 1.同方法一之(3) 和 (4)步驟

NOTE 注意事項
1.Perform the above-mentioned procedures once or twice daily.上述步驟每日請執行一至二次
2.Pinch the urinary catheter at least once a day, and avoid bending or pressing it to maintain a free flow.尿管每日至少要擠壓一次，避免折到或壓到，以保持通暢
3.The urine collection bag should be placed below the bladder position (not suitable to place on the floor) or drag along the floor. Empty the urine at least three times daily and record the urinated volume.尿袋高度要低於膀胱位置(但不可置於地面上)或在地上拖曳，每日至少要倒尿三次，並記錄尿量
4.Let the patient drink 2500~3000cc of water daily in order to dilute the urine to aid natural flushing, and to lower the chance of urethra infection.每日讓病人喝水2500~3000cc，以稀釋尿液及自然沖洗力，以減少尿路感染
5.If there is a fever, urinated volume less than 500cc,hematuresis, uncontrollable lose of urine, or dislocation of urinary catheter and congestion, please call the medical staff as soon as possible.如有發燒，尿量每日少於500cc、血尿、滲尿、或尿管脫出和阻塞，請儘快與醫護人員聯絡
6.Turn the body and move around often to lower the chance of cloudy urine. Change urine collection bag once a week and change it more often if it gets cloudy and congested.應常翻身及活動，可減少尿液混濁，蓄尿袋宜一週更換，或有混濁阻塞時，則必需時時更換
7.Close the opening of urine collection bag at any time to avoid contamination.尿袋開口處隨時關閉，勿受污染
8.Change the diaper or cotton pad wrapping the urethra opening whenever it is wet.包裹尿道口的尿片或棉墊滲濕時，應隨時更換
9.Change the securing tape on urinary catheter every day but do not tape on same spot consistently(as in diagram 2).固定尿管的膠布應每天更換，並勿連續黏貼於同一位置（如圖二）
10.If the urinary catheter is congested, you can pinch and release the tube alternatively with both hands quickly, starting from six inches away and advancing the procedure toward the body (as in diagram 3). It is recommended to drink cranberry juice as it is rich in Vitamin C, and capable to convert uric acid to hippuric uric acid to reduce the chance of infection. Drink high unit (1000mg) Vitamin C instead if it is not available on the market. If diabetic patient drinks 100cc of cranberry juice twice daily, he/she has to take in sugar-free Vitamins.如果尿管阻塞，可以一手捏住其離身體六吋處，並用另一手很快的一擠一鬆，以擠向近身體的一段（如圖三）可建議長期飲用小紅莓果汁，因含有豐富的維他命C，可將尿液內尿酸轉變，促使尿液酸化，而降低感染機率，若市面買不到，可食用高單位維他命C(1000mg)；若糖尿病患者服用小紅莓果汁每次100cc，一天二次，並選擇無糖分的維他命