中医特色护理对神经源性膀胱尿潴留患者的操作体会  

The effect of haracteristic Method of Traditional Chinese Medicine Nursing on Urinary Retention in Patients with Neurogenic Bladder and the Analysis of Quality of Life after Discharge

作　　者：亢连茹[1] 杨忠锋[1] 

机构地区：[1]黑龙江中医药大学附属第二医院,哈尔滨150001

出　　处：《中国初级卫生保健》2014年第7期137-139,共3页Chinese Primary Health Care

摘　　要：目的本研究旨在寻求脊髓损伤后神经源性膀胱尿潴留患者中医特色护理及家庭护理的可行性方法,以降低医疗及护理成本,避免泌尿系统并发症的发生。方法选取脊髓损伤后神经源性膀胱尿储留患者36例,随机分为观察组和对照组,每组各18例。观察组采取中医特色护理结合自我间歇性导尿方式对患者进行护理,同时进行膀胱容量残余尿量测定、实验室尿沉渣测定以及细菌计数评价。出院时对患者及其家属进行出院后指导,以世界卫生组织(WHO)生存质量测定量表简表(WHO-QOL-BREF)与健康相关的生活质量评分为基础,自制评分量表。从两组患者出院后生存质量及常见并发症发病率的角度,对实验效果进行评价。对照组采取常规留置尿管护理,出院后进行常规护理教育。结果两组患者膀胱容量及残余尿量比较(P<0.05),差异具有统计学意义。24 h尿沉渣检查、细菌计数等实验室检查结果显示,观察组WBC数量、细菌计数明显优于对照组(P<0.05),差异具有统计学意义。患者生存质量评分显示,观察组患者生存质量明显优于对照组,差异具有统计学意义(P<0.05)。结论中医特色护理对神经源性膀胱尿潴留患者膀胱功能重建十分有意义,值得进一步推广。OBJECTIVE The study was to seek that nursing and home care method for the patients with neurogenic bladder and urinary retention after spinal cord injury to decrease the cost of medical treatment and to avoid the happening of the complications of urinary system. METHODS Select 36 patients with urinary retention of neurogenic bladder after spinal cord injury. They were randomly divided into observation group and control group, 18 cases in each group. Observation group take the characteristic method of traditional Chinese medicine nursing combined with self intermittent catheterization. Simultaneously, detect the determination of residual urine volume, bladder capacity , laboratory determination of urinary sediment and bacteria count. Give guidance to patients and their families after discharge. After discharge, evaluate experimental results from the aspects of survival quality and common complica- tions of two groups. Control group take the routine nursing care, placing a urinary catheter. Give the regular nursing education after discharge. RESULTS Compared two groups of patients with bladder capacity, residual urine volume, 24 hours determination of urinary sediment and bacteria count, the difference is statistically significant（P〈0.05）. Patients quality of life score, according to the observa- tion group of patients quality of life was better than control group, difference has statistical significance （P〈0.05）.CONCLUSION Charouteristic health care of traditional Chinese Medicine had important significance in reconstructing bladder function of urinary retention in patients with neurogenic bladder.

关 键 词：神经源性膀胱尿潴留 中医特色护理 生活质量 

分 类 号：R694.55[医药卫生—泌尿科学]