神经源性膀胱患者间歇导尿自我护理的路径化健康教育.docVIP

神经源性膀胱患者间歇导尿自我护理的路径化健康教育 王桂荣,吕义荣,张琴 【摘 要】 目的:观察健康教育路径表在神经源性膀胱患者间歇导尿自我护理的健康教育中的效果。方法:将65例脊髓损伤患者随机分成观察组和对照组，对照组按传统的健康教育方法进行护理，观察组采用健康教育路径表进行护理和指导。分别在干预前、出院时对两组知识知晓率、遵医率 、住院天数进行比较。结果:观察组患者干预后知识知晓率、遵医率显著高于对照组（均P0.01））Path of health education in patients with Neurogenic bladder intermittent catheterization self-nursing application Wang Gui-Rong,Lv Yi-Rong,Zhang Qin (Hubei medical college hospital affiliated tai rehabilitation, hubei shiyan 442000) 【Abstract】 Objective:To observe the effection that the form of health education path applicated self-nursing in patients with Neurogenic bladder with intermittent catheterization. Methods:65 patients with Neurogenic bladde were randomly divided into trial group and control group, the control group in the traditional mode of the holistic nursing care, the observation group on the basis of control group take nursing application by the form of health education path. Respectively compare the rate of knowledge realize and medicaladvice compliance and the hospital day between before intervention and Discharge from Hospital in two groups Results:the rate of knowledge realize and medicaladvice compliance in observation group patients are obviously Higher than control group (P 0.01); the hospital day of Two groups of patients was significant difference (P 0.01). Conclusion:the application of health education Path can improve self-nursing capability in patients with Neurogenic bladder with intermittent catheterization, and it can shorten hospital stay. health education Path mode was obviously better than traditional mode . 【key words】 Neurogenic bladder; Intermittent catheterization; self-nursing；health education. 神经源性膀胱是骶髓平面以上脊髓损伤临床常见合并症之一,这种排尿障碍可终身存在，并可导致患者泌尿系统感染、结石、肾积水，严重者可造成肾功能不全甚至死亡[1]。间歇导尿术被国际尿控协会推荐为治疗神经源性膀胱功能障碍的首选方法[2]；多数患者习惯接受留置导尿管的被动护理，形成了对护理工作的依赖，不利于患者回归社会。因此要求患者掌握间歇导尿术的自我护理方法。为了进一步规范和完善问歇导尿术的管理制度，提高健康教育效果，我科制订了间歇导尿自我护理健康教育路径表，自2008年1月至2011年5月，对33例脊髓损伤后神经源性膀胱患者进行间歇导尿的膀胱护理，并使用健康教育路径表对患者自我护理能力进行指导，取得良好效果，报告如下。 1 对象与方