延续护理对神经源性膀胱患者间歇导尿依从性的-中国康复理论与实践.PDFVIP

中国康复理论与实践2016年12月第22卷第12期ChinJRehabilTheoryPract,Dec.,2016,Vol.22,No.12 - 1480 - DOI: 10.3969/j.issn. 1006-9771.2016.12.026 ·康复护理 · 延续护理对神经源性膀胱患者间歇导尿依从性的影响① 王雪琼，朱世琼，艾艳，付靖，李亚梅 [摘要] 目的 探讨延续护理对神经源性膀胱患者间歇导尿依从性的影响。方法 2015 年1~ 12月，60 例脊髓损伤后神经源性 膀胱行间歇导尿的患者随机分为对照组(n=30)和试验组(n=30) 。对照组给予常规出院指导，试验组在此基础上给予延续护理干预模 式。比较两组出院时及干预3 个月后间歇导尿依从性、膀胱残余尿量、尿路感染及生活质量的差异。结果 延续护理后，试验组 2 维持间歇导尿的依从性明显高于对照组(χ =7.500, P=0.006) 。两组残余尿量较干预前均显著改善(t 12.040, P0.001) ，试验组优于对 2 照组(t=-2.190, P=0.032) ；试验组尿路感染率明显低于对照组(χ = 10.800, P=0.001) 。两组干预后生活质量各领域评分均显著高于干 预前(t4.572, P0.001) ，试验组显著高于对照组(t5.505, P0.001) 。结论 延续护理模式可提高神经源性膀胱患者出院后间歇导尿 的依从性，减少残余尿量，降低尿路感染，提高生活质量。 [关键词] 神经源性膀胱；延续护理；间歇导尿；依从性 Effects of Continuing Care on Intermittent Catheterization Compliance of Patients with Neurogenic Bladder WANG Xue-qiong, ZHU Shi-qiong, AI Yan, FU Jing, LI Ya-mei Department of Rehabilitation, Sichuan Academy of Medical Sciences, Sichuan Provincial Peoples Hospital, Cheng- du, Sichuan 610072, China Correspondence to LI Ya-mei . E-mail: 306592581@ Abstract: Objective To explore the effect of continuing care on the intermittent catheterization compliance of patients with neurogenic bladder. Methods From January to December, 2015, 60 patients with neurogenic bladder after spinal cord injury receiving intermittent cathe- terization were randomly assigned to control group (n=30) and intervention group (n=30). The control group received routine discharge in- struction, while the intervention group received continuing care in addition. The intermittent catheterization compliance, residual urine vol- ume, urinary tract infection and quality of life were assessed at discharg