多学科合作干预对压力性尿失禁术后患者膀胱功能恢复的影响  

The effect of multidisciplinary cooperative intervention on bladder function recovery in patients with stress incontinence after surgery

作　　者：刘玲芳[1] 陈德新[1] 汤彪[1] 朱玲[1] 张佳丽 LIU Ling-fang;CHEN De-xin;TANG Biao;ZHU Ling;ZHANG Jia-li(Sichuan Provincial Hospital for Women and Children,Chengdu 610045,China)

机构地区：[1]四川省妇幼保健院妇科,四川成都610045

出　　处：《实用医院临床杂志》2020年第6期123-125,共3页Practical Journal of Clinical Medicine

基　　金：四川省科技计划项目(编号:2019YJ0579)。

摘　　要：目的探讨多学科合作干预对压力性尿失禁术后患者膀胱功能恢复的影响。方法选择因压力性尿失禁在我院行手术治疗的患者,其中2018年1~12月的98例患者为对照组,给予常规护理;2019年1~12月的102例患者为试验组,在常规护理的基础上以妇科护士为核心,协同妇科盆底泌尿专业医生、心理科医生、中医科医生、营养师组建多学科合作干预团队,对患者进行多学科干预。比较两组患者术后留置尿管时间、导尿次数和术后1个月膀胱残余尿量和尿失禁影响问卷简版(IIQ-7)、盆底功能障碍问卷简版(PFDI-20)评分。结果试验组患者留置尿管时间短于对照组,导尿次数少于对照组,术后1个月自主排尿后膀胱残余尿量情况好于对照组,术后3个月IIQ-7和PFDI-20评分低于对照组,差异有统计学意义(P<0.05)。结论以护理为主导,专科医师、心理医师、中医的针灸疗法和营养师多学科合作干预可更好促进压力性尿失禁术后患者膀胱功能恢复,明显降低尿潴留的发生。Objective To investigate the effect of multidisciplinary cooperative intervention on the recovery of bladder function in patients with stress incontinence after surgery.Methods Patients with stress incontinence who underwent surgery in our hospital from January 2018 to December 2019 were selected.Of these patients,98 patients in control group were given routine nursing while 102 cases in experimental group were treated with gynecological nurses as the core on the basis of routine nursing,and a multidisciplinary cooperative intervention team was established in collaboration with urogynecologists,psychologists,traditional Chinese medicine doctors and dietitians to conduct multidisciplinary intervention for patients with post-stress incontinence.Postoperative indwelling catheter time,catheterization times,bladder residual urine volume and urinary incontinence after 1 month of surgery were compared between the two groups,and the scores of the questionnaire(IIQ-7)and the pfd-20(PFD-20)for pelvic floor dysfunction were compared.Results The time of indwelling catheter in the experimental group was shorter than that in the control group,and the times of catheterization were less than that in the control group.There were 100 patients in the experimental group and 86 patients in the control group whose bladder residual urine volume after urination was≤100 ml after one month of operation(P<0.05).After three months of surgery,the scores of IIQ-7 and PFD-20 in the experimental group were lower than those of the control group(P<0.05).Conclusion Taking nursing as the leading role,multidisciplinary intervention of acupuncture and moxibustion by specialized physicians,psychologists,traditional Chinese medicine doctors and dietitian can better promote the recovery of bladder function of patients with stress urinary incontinence after surgery and significantly reduce the occurrence of urinary retention.

关 键 词：压力性尿失禁 膀胱功能 护理 心理干预 针灸 营养 

分 类 号：R473.71[医药卫生—护理学]