靶向性康复护理对神经源性膀胱功能障碍患者功能恢复的影响  

Effect of targeting rehabilitation nursing on functional recovery of patients with neurogenic bladder dysfunction

作　　者：侯玉玲 豆秀娟 魏佳丽 HOU Yuling;DOU Xiujuan;WEI Jiali(The First Affiliated Hospital of Zhengzhou University,Zhengzhou,450000,China)

机构地区：[1]郑州大学第一附属医院小儿外科,河南省郑州市450000

出　　处：《护理实践与研究》2022年第6期876-882,共7页Nursing Practice and Research

摘　　要：目的 为神经源性膀胱功能障碍(NBD)患者提供靶向性康复护理,探究其对膀胱功能恢复的效果。方法 选取2018年6月—2019年6月收治的98例NBD患者,按照组间基线资料匹配的原则分为观察组与对照组,每组49例,对照组予以常规护理,观察组则在常规护理基础上结合靶向性康复护理,比较干预前(入院时)、干预后(干预8周)两组的膀胱功能、尿流动力学、康复效果、并发症、生活质量。结果干预前,两组膀胱功能恢复指标水平比较差异无统计学意义(P>0.05);干预后,与对照组比,观察组自主排尿时间早,日均排尿次数少、日均漏尿次数少,单次平均排尿量多,差异有统计学意义(P<0.05)。干预前,两组尿流动力学指标比较差异无统计学意义(P>0.05);干预后,观察组排尿膀胱压力、膀胱最大容量、最大尿流率、最大排尿量均高于对照组,残余尿量低于对照组,差异有统计学意义(P<0.05)。干预后,观察组康复效果优于对照组,且随访期间肾盂积水、尿路感染等并发症的发生率低于对照组,差异有统计学意义(P<0.05)。干预前,两组WHO生存质量测定量表(WHOQOL-BREF)中生理领域、环境领域、心理领域、社会关系领域评分比较差异无统计学意义(P>0.05);干预后,观察组生理领域、环境领域、心理领域、社会关系领域,各领域评分高于对照组,差异有统计学意义(P<0.05)。结论 为神经源性膀胱功能障碍的患者提供靶向性康复护理能取得较好的临床效果,改善尿动力指标,降低并发症发生率,促进其膀胱功能重建,提高患者生活质量。Objective To provide targeted rehabilitation care for patients with neurogenic bladder dysfunction(NBD) to explore its ef fect on the recovery of bladder function.Methods A total of 98 NBD patients who were treated from June 2018 to June 2019 were selected and divided into an observation group and a control group according to the principle of matching the baseline data between groups,with 49 cases in each group.The control group received routine nursing,while the observation group received targeting rehabilitation nursing on the basis of routine nursing to compare the bladder function,urodynamics,rehabilitation ef fect,complications,and quality of life were compared between the two groups before the intervention(on admission) and after the intervention(8 weeks after the intervention).Results Before the intervention,there was no signifi cant dif ference in the level of bladder function recovery indexes between the two groups(P>0.05).After the intervention,compared with the control group,the observation group had earlier spontaneous urination time,fewer daily urination times,less daily average urine leakage times,and more single-time average urination volume,and the dif ferences were statistically signifi cant(P<0.05).Before intervention,there was no signifi cant dif ference in urodynamic indexes between the two groups(P>0.05).After the intervention,the urinary bladder pressure,maximum bladder capacity,maximum urine flow rate and maximum voiding volume of the observation group were higher than those of the control group,and the residual urine volume was lower than that of the control group,and the dif ferences were statistically significant(P<0.05).After the intervention,the rehabilitation effect of the observation group was better than that of the control group,and the incidence of complications such as hydronephrosis and urinary tract infection during the follow-up period was lower than that of the control group,and the differences were statistically signifi cant(P<0.05).Before the intervention,there was no signi

关 键 词：靶向性康复护理 神经源性 膀胱功能障碍 功能恢复 

分 类 号：R47[医药卫生—护理学]