间歇清洁导尿对脊髓损伤患者康复护理的价值  

Value of intermittent clean of urethral catheterization in rehabilitation nursing of patients with spinal cord injury

作　　者：蒋惠芳 陈云芳[1] 郭静[1] JIANG Huifang;CHEN Yunfang;GUO Jing(Department of Rehabilitation,the First Affiliated Hospital of Fujian Medical University,Fujian,Fuzhou 350005,China)

机构地区：[1]福建医科大学附属第一医院康复科,福建福州350005

出　　处：《中国医药科学》2021年第16期140-142,190,共4页China Medicine And Pharmacy

摘　　要：目的探讨脊髓损伤康复护理中应用间歇清洁导尿的临床价值。方法将2018年1月至2020年5月福建医科大学附属第一医院52例脊髓损伤伴膀胱功能障碍患者随机分为试验组(间歇清洁导尿+自我护理,26例)和对照组(留置导尿管+常规护理,26例),干预前后测量两组膀胱容量、膀胱颈压与膀胱残余尿量,以WHOQOL-100量表评价两组生活质量,统计两组泌尿系感染发生率。结果试验组干预后膀胱容量(342.61±25.31)ml大于对照组,膀胱颈压(20.82±4.14)cmH2O高于对照组,残余尿量(36.84±10.37)ml少于对照组,WHOQOL-100量表评分(75.85±6.91)分高于对照组,差异有统计学意义(t=7.215,7.050,18.870,8.444,P<0.05)。试验组干预后泌尿系感染发生率(3.85%)低于对照组(23.08%),差异有统计学意义(χ^(2)=4.127,P<0.05)。结论将间歇清洁导尿用于脊髓损伤患者康复护理中,指导患者自我清洁、自我护理,可以有效改善患者膀胱功能,同时帮助预防和减少泌尿系感染的发生,提高患者生活质量。Objective To investigate the clinical value of intermittent clean of urethral catheterization in rehabilitation nursing of patients with spinal cord injury.Methods A total of 52 patients with spinal cord injury and bladder dysfunction admitted to the First Affiliated Hospital of Fujian Medical University from January 2018 to May 2020 were randomly divided into the experimental group(n=26,with intermittent clean of urethral catheterization+self-nursing)and the control group(n=26,with indwelling urethral catheterization+conventional nursing).Before and after the intervention,the bladder capacity,bladder neck pressure and bladder residual urine volume.The WHOQOL-100 scale was used to evaluate the quality of life(QOL)of the two groups,and the incidences of urinary tract infection of the two groups were counted.Results After intervention,the bladder capacity(342.61±25.31)ml of the experimental group was greater than that of the control group,the bladder neck pressure(20.82±4.14)cmH2O was higher than that of the control group,the residual urine volume(36.84±10.37)ml and WHOQOL-100 scale score(75.85±6.91)points in the experimental group were higher than those in the control group,with statistically significant differences(t=7.215,7.050,18.870,8.444,P<0.05).After intervention,the incidence of urinary tract infection in the experimental group was 3.85%,which was lower than 23.08%in the control group,with statistically significant difference(χ^(2)=4.127,P<0.05).Conclusion The intermittent clean of urethral catheterization for rehabilitation nursing of patients with spinal cord injury is applied to guide patients to clean and take care of themselves.It can effectively improve patients'bladder function,help prevent and reduce urinary tract infection,and improve the patients'QOL.

关 键 词：脊髓损伤 间歇清洁导尿 护理 膀胱功能 生活质量 并发症 

分 类 号：R473.6[医药卫生—护理学]