个体化护理对脊髓损伤患者神经源性膀胱康复的影响  

Effect of individualized nursing on neurogenic bladder rehabilitation process for patients with spinal cord injury

作　　者：井永敏[1] 丁俊琴[1] 曹志坤[1] 郭玉红[1] 康云霞[1] 马惠敏[1] 

机构地区：[1]河北医科大学第三医院护理部,河北石家庄050051

出　　处：《护士进修杂志》2010年第10期923-924,共2页Journal of Nurses Training

基　　金：2006年河北省科技厅立项课题(编号:0627611108)

摘　　要：目的探讨脊髓损伤患者神经源性膀胱最佳康复训练方法,针对脊髓损伤后神经源性膀胱的不同特点,实施个体化护理。方法采取随机对照法将143例脊髓损伤患者随机分为两组,对照组65例脊髓损伤患者进行常规护理;实验组78例患者依照脊髓损伤平面不同进行个体化膀胱功能训练并予以间歇导尿。观察并记录两组患者自主排尿时间、残余尿量、泌尿系统感染等情况。结果实验组与对照组相比较残余尿量减少、自主排尿时间缩短、泌尿系感染发生率降低,差异均有显著意义。结论个体化护理能有效恢复膀胱生理功能,降低脊髓损伤患者泌尿系统并发症的发生。Objective To study the effective of individualized nursing on neurogenic bladder rehabilitation process for patients with spinal cord injury（SCI）. Method 143 patients with SCI were randomly divided into control group（65 cases） and individual group（78 cases）.Routine nursing was given in control group,and individualized nursing was given in individual group.The time of self-voiding,residual urine volume（RUV）,and incidence infection of urinary system are recorded and compared between two groups.Result In individual group,the time of self-voiding was shorter,RUV and the infection of urinary system was lower than that of control group（P0.05）.Conclusion The individualized nursing could promote the recovery of bladder function for patients with spinal cord injury,and reduce the incidence of urologic complications.

关 键 词：脊髓损伤 神经源性膀胱 康复 个体化护理 

分 类 号：R473.74[医药卫生—护理学]