神经内科尿失禁病人的护理.docVIP

精品论文 参考文献 神经内科尿失禁病人的护理 穆棱市人民医院 黑龙江 穆棱市 157599 　　【摘 要】目的：探讨神经内科尿失禁患者的临床护理方法，提高患者的预后并改善其生活质量。方法：针对我院神经内科自2015年1月至2016年1月收治 60 例发生尿失禁的患者，对患者病历资料进行回顾性分析，并将其分为观察组和对照组，且每组30 例患者，对照组患者采取常规护理方法；观察组中患者结合病情，进行综合护理干预，观察两组患者的临床护理效果。结果：进行综合护理干预的神经内科尿失禁观察组患者在尿失禁症状改善、神经功能评分等方面好于对照组,两组比较有显著差异(plt;0.05)。结论：综合护理干预可有效改善神经内科尿失禁患者症状,利于神经功能恢复,值得临床应用。 　　【关键词】神经内科；尿失禁；临床护理 　　Nursing of patients with urinary incontinence in neurology 　　【Abstract】Objective: To explore the clinical nursing methods of patients with urinary incontinence, improve the prognosis and improve their quality of life. Methods: 60 patients with poststroke urinary incontinence were enrolled in Department of Neurology of our hospital from January 2015 to January 2016. The medical records were retrospectively analyzed and divided into observation group and control group. 30 patients in the control group were treated with conventional nursing methods. The patients in the observation group were treated with comprehensive nursing intervention and the clinical nursing effect of the two groups was observed. Results: There was significant difference between the two groups (p lt;0.05). There was significant difference in urinary incontinence symptom and neurological function score between the two groups. Conclusion: Comprehensive nursing intervention can effectively improve the symptoms of urinary incontinence in neurological patients, which is beneficial to the recovery of neurological function and is worthy of clinical application. 　　【Key words】neurology; urinary incontinence; clinical nursing 　　【中图分类号】R473.74 【文献标识码】A 【文章编号】2096-0867（2016）15-034-01 　　 　　 　　在神经内科,随着脑血管意外患者的增多,神经性损伤导致尿失禁症状出现的越来越多。由于反射弧以上的脊髓损伤使与大脑间的讯息传导受到干扰,神经内科尿失禁患者出现排尿异常,若得不到及时有效的护理,会长期影响患者的生活质量,严重影响着患者的心理健康,甚至有放弃继续治疗的念头。我院2015年1月至2016年1月对60例神经内科住院的脑卒中后尿失禁患者进行综合护理干预。 取得较好的疗效，现将结果报告如下。 　　1.资料与方法 　　1.1一般资料 　　针对我院2015年1月至2016年1月收治的60 例在神经内科住院发生尿失禁的患者，患者年龄在34岁～70岁，平均年龄在51.3plusmn;3.8岁；观察组30例患者中女性 12 例，男性 18 例，病程在 1-6 个月，并包括脑血管疾病12例,脑损伤9例,脊髓损伤8例,其他1例。对照组30例患者中女