多学科协作模式在卒中后神经源性膀胱患者管理中的应用  

The effect of multidisciplinary collaboration model in the management of neurogenic bladder patients after stroke

作　　者：刘敏[1] 孙玉勤[1] 延敏博[1] 黄燕霞[2] 宋佰艳[1] 韦胜威[1] 郑浩[1] Liu Min;Sun Yuqin;Yan Minbo;Huang Yanxia;Song Baiyan;Wei Shengwei;Zheng Hao(Department of Urology,the Fifth Affiliated Hospital of Sun Yat-sen University,Zhuhai 519099,China;Department of Neurology,the Fifth Affiliated Hospital of Sun Yat-sen University,Zhuhai 519099,China)

机构地区：[1]中山大学附属第五医院泌尿外科,珠海519099 [2]中山大学附属第五医院神经内科,珠海519099

出　　处：《中华腔镜泌尿外科杂志（电子版）》2021年第5期431-435,共5页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的探讨多学科协作模式在卒中后神经源性膀胱患者管理中的应用效果。方法选取2018年1月至2019年12月入住中山大学附属第五医院神经内科卒中后神经源性膀胱患者160例为研究对象,将2018年1月至2018年12月入院的71例患者设为对照组;2019年1至2019年12月入院的89例患者设为观察组,对照组采用常规护理模式,观察组在常规护理的基础上开展多学科协作膀胱管理团队干预,比较两组患者的尿路感染、膀胱功能恢复情况、平均留置导尿管时间及护理满意度。结果观察组患者尿路感染发生率6.74%,低于对照组的29.58%;平衡膀胱有效建立率68.53%,高于对照组的30.98%;平均留置导尿管时间(4.84±1.62)d,低于对照组(9.76±3.72)d;患者满意度为96.62%(86/89),高于对照组的70.42%(50/71),差异均具有统计学意义(P<0.05)。结论多学科协作模式可有效降低患者尿路感染的发生,促进膀胱功能的恢复,明显缩短留置导尿管时间,提高患者满意度,值得临床推广应用。Objective To explore the effect of multidisciplinary collaboration model in the management of neurogenic bladder patients after stroke.Methods 160 patients with neurogenic bladder after stroke who were admitted to the Fifth Affiliated Hospital of Sun Yat-sen University from January 2018 to December 2019 were selected as research subjects.71 patients admitted from January 2018 to December 2018 were set as the control group;89 patients admitted to the hospital from January 2019 to December 2019 were set as the observation group.The control group adopted the conventional nursing.The observation group conducted multidisciplinary collaborative management on the basis of conventional care.The urinary tract infection,bladder function recovery,average indwelling catheter time,and nursing satisfaction of the two groups were compared.Results The incidence of urinary tract infection in the observation group was 6.74%,which was lower than that in the control group(29.58%);the effective establishment rate of balanced bladder in the observation group was 68.53%,which was higher than that in the control group(30.98%);the average indwelling catheter time in the observation group was(4.84±1.62)d,which was lower than that in the control group(9.76±3.72);patient satisfaction in the observation group was 96.62%(86/89),which was higher than that in the control group(70.42%,50/71).All the results were statistically significant(P<0.05).Conclusion The multidisciplinary cooperation model can effectively reduce the incidence of urinary tract infections in patients,promote the recovery of bladder function,significantly shorten the time of indwelling catheters,improve patient satisfaction,and is worthy of clinical promotion and application.

关 键 词：多学科诊疗 神经源性膀胱 膀胱管理 泌尿系感染 脑卒中 专科护理 

分 类 号：R473.74[医药卫生—护理学]