延续护理在经皮微创膀胱造瘘术出院患者中的应用  

Application of continuous nursing in discharged patients after percutaneous minimal invasive bladder fistulization

作　　者：李学军[1] 王元姣[1] 章微微[1] 楼巍敏[2] 胡琳丽[3] 何梅[4] 娄玲娣[1] Li Xuejun Wang Yuanjiao Zhang Weiwei Lou Weimin Hu Linli He Mei Lou Lingdi(Department of Rehabilitation Medicine, Zhejiang Provincial People＇s Hospital, Hangzhou 310014, China Department of Rehabilitation, Zhejiang Hospital, Hangzhou 310000, China Department of Rehabilitation, Hangzhou Red Cross Hospital, Hangzhou 310014, China Department of Rehabilitation. Rui＇an People＇s Hospital. Rui＇an 325200. China)

机构地区：[1]浙江省人民医院康复医学科,杭州310014 [2]浙江医院康复科,杭州310000 [3]杭州市红十字会医院康复科,310014 [4]浙江省瑞安市人民医院康复科,325200

出　　处：《中华现代护理杂志》2016年第31期4472-4475,共4页Chinese Journal of Modern Nursing

基　　金：浙江省卫生计生委项目（2014ZHB003）

摘　　要：目的探讨延续护理对脊髓损伤神经源性膀胱经皮微创膀胱造瘘术出院患者的影响。方法选取2014年2月-2015年8月浙江省四所三级甲等医院脊髓损伤神经源性膀胱经皮微创膀胱造瘘术患者46例为研究对象，采用随机数字表法分为对照组和观察组各23例。对照组接受常规的护理，观察组在对照组的基础上给予延续性护理干预，观察两组患者造口适应水平及导管相关并发症的发生率。结果护理干预6个月后，观察组造口适应水平评分明显优于对照组，差异有统计学意义（t值分别为5．28，4．22，6．47；P〈0．01）；观察组尿路感染、造口周围皮肤感染、导管滑脱、导管堵塞、导管破损等并发症的发生率均低于对照组，差异有统计学意义（χ^2值分别为7．997，7．724，5．024，7．997，5．024；P〈0.05）。结论延续护理干预能提高造瘘患者的适应水平、降低导管相关并发症发生率。Objective To explore the effect of continuous nursing on patients with spinal cord injury neurogenie bladder who were discharged from the hospital after spercutaneous minimal invasive bladder fistulization. Methods Totally 43 patients with spinal cord injury and underwent percutaneous minimal invasive bladder fistulization were divided into the control group and the observation group by random digital table method, with 23 cases in each group. Patients in the control group received routine nursing, while patients in the observation group received continuous nursing based on the routine nursing. The level of colostomy adaptation and the incidence of complications related to catheter in two groups were observed. Results Six months after nursing intervention, the score of colostomy adaptation level in the observation group was significantly superior to that in the control group （P〈0.01）; in the intervention group, the incidence of urinary tract infection, skin infection around the stoma ; the incidence of complications such as catheter slippage, catheter blockage, catheter breakage, were all lower than that in the control.group （P 〈 0.05 ）. Conclusions The continuous nursing intervention can improve the level of colostomy adaptation and reduce the incidence of catheter related complications.

关 键 词：膀胱造口术 脊髓损伤 延续护理 

分 类 号：R473.6[医药卫生—护理学]