AN INITIAL EVALUATION OF THE EFFECTIVENESS OF TILT TABLE ON IMPROVEMENT OF URINARY FUNCTIONS IN PARALYZED PATIENTS

Tóm tắt

Objectives: “Evaluate the effectiveness of tilt table on improvement of urinary functions and prevention of urinary tract infection in paralyzed patients.” Method: Group of patients with urinary catheter: 200ml of 0.9% NaCl was entered the bladder then collected output volume. Group of patients with voluntary urination: drunk 500ml of water then performed uroflowmetry test. Patients in both groups performed these procedures in supine position and vertical position (on tilt table). The symptoms of urinary tract infection (UTI) had assessed for 2 weeks in patients urinate voluntarily in supine and vertical position. Results: In vertical position with the support of tilt table, patients with urinary catheter had higher urine output and patients with voluntary urination had higher Qmax, Qave and urine output compared to patients in supine position (p <0.05). After 2 weeks of UTI assessment, there were 40% of patient urinate voluntarily in supine position had symptoms of UTI; the amount of white blood cells and neutrophils tended to elevate. There was no symptom of UTI in patients urinate voluntarily in vertical position. Conclusion: Tilt table showed initial effectiveness in improving urinary functions and preventing UTI in paralyzed patients.