延续护理对神经源性膀胱患者间歇导尿依从性的影响  

Effects of Continuing Care on Intermittent Catheterization Compliance of Patients with Neurogenic Bladder

作　　者：王雪琼[1] 朱世琼[1] 艾艳[1] 付靖[1] 李亚梅[1] 

机构地区：[1]四川省医学科学院?四川省人民医院康复医学科,四川成都市610072

出　　处：《中国康复理论与实践》2016年第12期1480-1484,共5页Chinese Journal of Rehabilitation Theory and Practice

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,试验组维持间歇导尿的依从性明显高于对照组（χ^2=7.500,P=0.006）。两组残余尿量较干预前均显著改善（t〉12.040,P〈0.001）,试验组优于对照组（t=-2.190,P=0.032）;试验组尿路感染率明显低于对照组（χ^2=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（t〉4.572,P〈0.001）,试验组显著高于对照组（t〉5.505,P〈0.001）。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。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 catheterization were randomly assigned to control group（n=30） and intervention group（n=30）. The control group received routine discharge instruction, while the intervention group received continuing care in addition. The intermittent catheterization compliance, residual urine volume, urinary tract infection and quality of life were assessed at discharge and three months after intervention. Results After intervention, the intermittent catheterization compliance was better in the intervention group than in the control group（χ^2=7.500, P=0.006）. The residual urine volume significantly decreased in both groups（t〉12.040, P〈0.001）, and was less in the intervention group than in the control group（t=-2.190, P=0.032）, as well as the urinary tract infection rate（χ^2=10.800, P=0.001）. The score of quality of life increased significantly after intervention in both groups（t〉4.572, P〈0.001）, and was higher in the intervention group than in the control group（t〉5.505, P〈0.001）. Conclusion Continuing care could improve the intermittent catheterization compliance, reduce the residual urine volume and the urinary tract infection rate, and improve the quality of life in patients with neurogenic bladder after discharge.

关 键 词：神经源性膀胱 延续护理 间歇导尿 依从性 

分 类 号：R694[医药卫生—泌尿科学]