男性脊髓髓内肿瘤患者术后尿管护理及逼尿肌训练对患者康复及满意度的影响  

Effects of postoperative urinary catheter care and detrusor exercises on recovery and satisfaction in male patients with intramedullary spinal cord tumors

作　　者：李媛媛 尹双双 昝洪晶 LI Yuan-yuan;YIN Shuang-shuang;ZAN Hong-jing(Second Department of Rehabilitation,Shandong Provincial Third Hospital,Jinan 250031,China;Department of Orthopedics,Shandong Provincial Third Hospital,Jinan 250031,China;Department of Endocrine,Nephrology and Immunology,Shandong Provincial Third Hospital,Jinan 250031,China)

机构地区：[1]山东省立第三医院康复二科,济南250031 [2]山东省立第三医院骨外科,济南250031 [3]山东省立第三医院内分泌肾病免疫科,济南250031

出　　处：《中国肿瘤临床与康复》2021年第1期110-113,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨男性脊髓髓内肿瘤患者术后尿管护理及逼尿肌训练对患者康复质量和护理满意度的影响。方法选取2018年1月至2020年1月间山东省立第三医院收治的70例男性脊髓髓内肿瘤患者,采用随机抽签法分为观察组和对照组,每组35例。对照组患者采用常规护理,观察组患者在对照组基础上采用尿管护理及逼尿肌训练。比较两组患者术后尿潴留、尿失禁和泌尿系感染发生率,比较尿管拔除成功率和护理满意度,记录尿管拔除时间、住院时间、尿管拔除时膀胱最大容量和残余尿量。结果观察组患者并发症发生率低于对照组,尿管拔除成功率高于对照组,组间比较,差异均有统计学意义(均P <0.05)。观察组患者尿管拔除时间和住院时间均短于对照组,观察组拔管时和拔管1月后膀胱最大容量均高于对照组,术后1月残余尿量低于对照组,差异均有统计学意义(均P <0.05)。观察组患者护理总满意度为97.1%,高于对照组的80.0%,差异有统计学意义(P <0.05)。结论男性脊髓髓内肿瘤术后采用尿管护理及逼尿肌训练,可降低患者术后并发症,提高尿管拔除成功率,缩短拔除时间和住院时间,提升膀胱储尿功能,减少残余尿量,具有积极推广价值。Objective To investigate the effect of postoperative urinary catheter care and detrusor exercises on rehabilitation quality and nursing satisfaction in male patients with intramedullary spinal cord tumors. Methods A total of 70 male patients with intramedullary spinal cord tumors admitted to Shandong Provincial Third Hospital from January 2018 to January 2020 were selected and randomly divided into an observation group and a control group with 35 patients in each group. The observation group was given urinary catheter care and detrusor training besides conventional nursing and the control group was given conventional nursing care. The incidence of urinary retention,urinary incontinence and urinary tract infection after operation,successful extubation and nursing satisfaction were compared between the two groups. Time to extubation,length of hospital stay,the maximum bladder volume and residual urine volume were recorded.Results The incidence of complications was lower in the observation group than in the control group,and the success rate of urinary catheter removal was higher in the observation group than in the control group( all P <0. 05). Time to extubation and length of hospital stay was lower in the observation group than in the control group,the maximum bladder volume at extubation and 1 month after extubation were higher in the observation group than in the control group,and residual urine volume at 1 month after the surgery was lower in the observation group than in the control group( all P < 0. 05). Patient satisfaction with nursing was 97. 1% in the observation group which was higher than 80. 0% of the control group( P < 0. 05). Conclusion Urethral care and detrusor training can reduce complications,improve success rate of urinary catheter removal,shorten time of removal and length of hospitalization,improve bladder storage function and reduce residual urine volume in male patients with spinal cord intramedullary tumors with significance for positive promotion.

关 键 词：男性 脊髓髓内肿瘤 术后尿管 逼尿肌训练 康复护理 满意度 

分 类 号：R739.42[医药卫生—肿瘤]