盆底康复仪联合间歇导尿在脑卒中神经源性尿失禁患者护理中的应用  

Application of pelvic floor rehabilitation instrument combined with intermittent catheterization in the nursing of neurogenic urinary incontinence patients caused by stroke

作　　者：杜晓梅[1] 沈录峰[1] 钱金荣[1] 伍海庆 游洋[1] 徐文静 DU Xiaomei;SHEN Lufeng;QIAN Jinrong;WU Haiqing;YOU Yang;XU Wenjing(Jiangxi Provincial People's Hospital,Nanchang,330006,China)

机构地区：[1]江西省人民医院康复医学科,江西省南昌市330006

出　　处：《护理实践与研究》2022年第7期1081-1084,共4页Nursing Practice and Research

基　　金：江西省卫生健康委科技计划课题(编号:20201004)。

摘　　要：目的 探讨盆底康复仪联合间歇导尿在脑卒中神经源性尿失禁患者中的应用效果。方法 选取2019年7月—2021年7月医院收治的脑卒中神经源性尿失禁患者96例,按组间基本特征匹配原则分为观察组和对照组,每组48例。对照组采取间歇导尿干预,观察组在对照组基础上采取盆底康复仪治疗。干预4周后,比较两组膀胱功能恢复情况、膀胱容量、残余尿量和生活质量。结果 经过盆底康复仪联合间歇导尿护理干预后,观察组膀胱功能恢复程度高于对照组,膀胱容量多于对照组,残余尿量少于对照组,生活质量量表(QOL)中社会活动、生活能力、抑郁症状、焦虑症状评分高于对照组;差异均有统计学意义(P<0.05)。结论 盆底康复仪联合间歇导尿能够重建脑卒中神经源性尿失禁患者膀胱功能,促进膀胱容量提升和改善患者生活质量。Objective To investigate the effect of pelvic floor rehabilitation instrument combined with intermittent catheterization in patients with neurogenic urinary incontinence caused by stroke. Methods A total of 96 stroke patients with neurogenic urinary incontinence admitted in the hospital from July 2019 to July 2021were selected and divided into an observation group and a control group according to the principle of basic feature matching, with 48 patients in each group. The control group was treated with intermittent catheterization, the observation group was treated with pelvic fl oor rehabilitation instrument on the basis of the control group. Four weeks after intervention, the recovery of bladder function, bladder volume, residual urine volume and quality of life of the two groups were compared. Results After pelvic fl oor rehabilitation instrument combined with intermittent catheterization nursing intervention, the degree of bladder function recovery in the observation group was higher than the control group, the bladder volume was higher than the control group, the residual urine volume was lower than the control group, the scores of social activities, living ability, depressive sympton, anxiety sympton in the Quality of life Scale(QOL) were higher than the control group, the diff erences were statistically significant(P <0.05). Conclusion Pelvic floor rehabilitation combined with intermittent catheterization could reconstruct bladder function, promote bladder capacity and improve the quality of life of stroke patients with neurogenic urinary incontinence.

关 键 词：脑卒中 盆底康复仪 间歇导尿 神经源性尿失禁 膀胱功能 生活质量 

分 类 号：R473.5[医药卫生—护理学]