脊髓损伤患者间歇性导尿困难度与神经源性膀胱症状和心理脆弱性的相关性分析  

Correlation between intermittent catheterization difficulty with neurogenic bladder symptom and mental vulnerability in patients with spinal cord injury

作　　者：龙雨阳 张建梅[1,2] 朱亮 杨杰 曾莉[1,2] 杨颖 杨悦[1,2] LONG Yuyang;ZHANG Jianmei;ZHU Liang;YANG Jie;ZENG Li;YANG Ying;YANG Yue(Rehabilitation Medicine Center,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China;West China School of Nursing,Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西医院康复医学中心,成都610041 [2]四川大学华西护理学院,成都610041

出　　处：《重庆医学》2022年第19期3317-3321,共5页Chongqing medicine

摘　　要：目的探讨脊髓损伤(SCI)患者实施清洁间歇性导尿(CIC)时的困难度与患者神经源性膀胱症状和心理脆弱性之间的相关性。方法采用一般调查问卷、间歇性导尿困难度问卷(ICDQ)、神经源性膀胱症状评分表(NBSS)和心理脆弱性量表(MVQ)对2020年3月至2021年3月于四川大学华西医院就诊的110例SCI患者进行问卷调查。结果110例SCI患者ICDQ平均得分为(39.60±9.94)分,NBSS平均得分为(41.30±11.25)分,MVQ平均得分为(54.80±12.49)分。SCI患者ICDQ总分与NBSS得分呈正相关(r=0.560,P<0.001),ICDQ总分与MVQ得分也呈正相关(r=0.238,P<0.05)。多因素线性回归分析显示,NBSS得分、MVQ得分和实施CIC时长是SCI患者实施CIC难度的影响因素。结论SCI患者ICDQ总分与NBSS得分和MVQ得分呈正相关,神经源性膀胱症状、心理脆弱性和实施CIC时长是影响SCI患者CIC困难程度的重要因子。Objective To explore the correlation of the clean intermittent catheterization(CIC)difficulty with neurogenic bladder symptom or mental vulnerability in the patients with spinal cord injury(SCI).Methods The general information questionnaire,intermittent catheterization difficulty questionnaire(ICDQ),neurogenic bladder symptom score(NBSS)and mental vulnerability questionnaire(MVQ)were adopted to conduct the questionnaire survey on 110 patients with SCI in this hospital from March 2020 to March 2021.Results The mean score of ICDQ in 110 cases of SCI was(39.60±9.94)points.The mean scores of NBSS and MVQ were(41.30±11.25)points and(54.80±12.49)points,respectively.The ICDQ score in SCI patients was positively correlated with the NBSS score(r=0.560,P<0.001).The ICDQ score in SCI patients was also positively correlated with the MVQ score(r=0.238,P<0.05).The multivariate linear regression analysis showed that the NBSS score,MVQ score and the duration of CIC implementation were the influencing factors of the difficulty of implementing CIC in SCI patients.Conclusion The ICDQ score in the patients with SCI is positively correlated with the NBSS score and MVQ score.The neurogenic bladder symptom,mental vulnerability and duration of implementing CIC were the important factors affecting the difficulty of implementing CIC in the patients with SCI.

关 键 词：脊髓损伤 神经源性膀胱 心理脆弱性 间歇性导尿 影响因素 

分 类 号：R473.6[医药卫生—护理学]