摘要
目的:观察多学科协作护理在卒中后神经源性膀胱患者中的应用效果。方法:选取2020年10月至2022年1月该院收治的80例卒中后神经源性膀胱患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各40例。对照组实施常规护理,观察组在对照组基础上实施多学科协作护理,两组均护理4周。比较两组护理前后排尿功能指标(单次最大排尿量、日间排尿次数、残余尿量、日均尿失禁次数)水平、平衡膀胱有效建立率、尿路感染发生率、生命质量[健康状况调查简表(SF-36)]评分和护理满意度。结果:护理后,观察组单次最大排尿量多于对照组,残余尿量、日间排尿次数、日均尿失禁次数均少于对照组,差异有统计学意义(P<0.05);观察组平衡膀胱有效建立率、SF-36评分均高于对照组,尿路感染发生率低于对照组,差异有统计学意义(P<0.05);观察组护理满意度为95.00%(38/40),高于对照组的72.50%(29/40),差异有统计学意义(P<0.05)。结论:多学科协作护理应用于卒中后神经源性膀胱患者可改善排尿功能指标水平和生命质量,促进膀胱功能恢复,降低尿路感染发生率,提高护理满意度,效果优于常规护理。
Objective:To observe application effects of multidisciplinary collaborative nursing in patients with neurogenic bladder after stroke.Methods:A prospective study was conducted on 80 patients with neurogenic bladder after stroke admitted to this hospital from October 2020 to January 2022.They were divided into observation group and control group according to the random number table method,40 cases in each group.The control group was given routine nursing,while the observation group was given the multidisciplinary collaborative nursing on the basis of that of the control group.Both groups were treated for 4 weeks.The urination function index levels(single maximum urination volume,daytime urination times,residual urine volume,daily average urinary incontinence times),effective establishment rate of balanced bladder,incidence of urinary tract infection,the quality of life[short form 36 health survey(SF-36)]score,and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the single maximum urination volume of the observation group was more than that of the control group,the residual urine volume,the daytime urination times and the daily average urinary incontinence times were less than those of the control group,and the differences were statistically significant(P<0.05).The effective establishment rate of balanced bladder and the SF-36 score in the observation group were higher than those in the control group,the incidence of urinary tract infection was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 95.00%(38/40),which was higher than 72.50%(29/40)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The multidisciplinary collaborative nursing in the patients with neurogenic bladder after stroke can improve the urination function index levels and the quality of life,promote the recovery of bladder function,reduce
作者
邱淑芬
QIU Shufen(NICU of Nanyang Second General Hospital,Nanyang 473000 Henan,China)
出处
《中国民康医学》
2023年第14期174-176,180,共4页
Medical Journal of Chinese People’s Health
关键词
卒中
神经源性膀胱
多学科协作护理
平衡膀胱
尿路感染
生命质量
护理满意度
Stroke
Neurogenic bladder
Multidisciplinary collaborative nursing
Balanced the bladder
Urinary tract infection
Quality of life
Nursing satisfaction
