脑卒中后尿失禁住院患者排尿情况及膀胱管理分析  

A survey on inpatients of urinary incontinence after stroke and an analysis of bladder management

作　　者：郭丽[1,2] 王静新[1] 王丽[2] 何艳芬 王洪侠[1] 蔡文智[4] 

机构地区：[1]南方医科大学南方医院,广州市510515 [2]南方医科大学研究生学院 [3]番禺区石楼镇人民医院急诊科 [4]南方医科大学护理学院

出　　处：《中国护理管理》2012年第5期33-36,共4页Chinese Nursing Management

摘　　要：目的:了解脑卒中后尿失禁患者的一般情况及膀胱管理现状。方法:采用便利抽样的方法,对广州市10家医院的723例脑卒中住院患者进行问卷调查,调查内容包括一般人口统计学资料、卒中情况、既往史、膀胱管理情况等。结果:723例调查对象中,尿失禁患者共有321例,脑卒中后尿失禁总发生率为44.4%。其中脑卒中急性期尿失禁发生率为34.6%,恢复期发生率为50.9%,后遗症期发生率为54.5%。67.9%的尿失禁患者每天有数次漏尿,48.6%的尿失禁患者因受各种因素影响未进行膀胱再训练。结论:脑卒中后尿失禁患者的膀胱管理仍需进一步加强与完善,医护人员应重视此类患者并取得其本人及家属的配合,尽早开展膀胱训练,使患者的身心健康得到最大程度的恢复。Objective： To learn about the inpatients of urinary incontinence after stroke, and reveal the status of bladder management. Method： Convenience sampling method was used and 723 inpatients from 10 hospitals in Guangzhou were investigated,about general demographic information, stroke situation, past history, bladder management status and cognitive function. Results： There were a total of 321 cases of urinary incontinence, the incidence rate of acute urinary incontinence was 34.6%, recovery rate was 50.9%, and sequelae rate was 54.5%.Among patients with urinary incontinence, 67.9% patients leak several times a day, and 48.6% of patients never had bladder training due to all sorts of factors. Conclusion： The bladder management of urinary incontinence after stroke still need to be further strengthened and improved, and medical personnel should increase emphasis on these patients and get the cooperation from the patients and their families, and bladder training should be started as early as possible, so that maximize their recovery of the physical and psychological.

关 键 词：脑卒中 尿失禁 膀胱管理 

分 类 号：R47[医药卫生—护理学]