以问题为导向实施靶向性康复护理训练结合聚焦解决模式对脊髓损伤神经源性膀胱患者排尿功能及自护能力的影响  

Effects of problem-oriented targeted rehabilitation nursing training combined with focused solution mode on urination function and self-care ability of patients with neurogenic bladder after spinal cord injury

作　　者：刘晓荣 张鼎 沙艳霞 韩乖玲 韩芳 常盼阳 李曼 LIU Xiaorong;ZHANG Ding;SHA Yanxia;HAN Guailing;HAN Fang;CHANG Panyang;LI Man(Xi'an Hospital of Traditional Chinese Medicine,Xi'an 710021,China)

机构地区：[1]西安市中医医院,陕西西安710021

出　　处：《临床医学研究与实践》2024年第5期123-126,共4页Clinical Research and Practice

基　　金：陕西省重点研发计划项目(No.2018YBXM-SF-12-7)。

摘　　要：目的探讨以问题为导向实施靶向性康复护理训练结合聚焦解决模式对脊髓损伤神经源性膀胱患者排尿功能及自护能力的影响。方法择取2021年1月至12月西安市中医医院针灸推拿康复科门诊和住院的80例脊髓损伤神经源性膀胱患者为研究对象,采用随机数字表法将其分为对照组与观察组,各40例。对照组采用聚焦解决模式干预,观察组在对照组基础上加以问题为导向实施靶向性康复护理训练。比较两组的干预效果。结果干预后,观察组的单次排尿量、尿流率高于对照组,排尿次数、残余尿量少于对照组(P<0.05)。干预后,观察组的自我护理能力测定量表(ESCA)各维度评分均高于对照组(P<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。结论以问题为导向实施靶向性康复护理训练结合聚焦解决模式不仅能够改善脊髓损伤神经源性膀胱患者排尿功能,还能提高其自护能力,减少并发症发生,值得推广。Objective To explore the effects of problem-oriented targeted rehabilitation nursing training combined with focused solution mode on urination function and self-care ability of patients with neurogenic bladder after spinal cord injury.Methods From January to December 2021,80 patients with neurogenic bladder after spinal cord injury in the outpatient and inpatient department of acupuncture and massage rehabilitation department of Xi'an Hospital of Traditional Chinese Medicine were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 40 cases in each group.The control group was intervened by focused solution mode,and the observation group was given problem-oriented targeted rehabilitation nursing training on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the single urination volume and urine flow rate of the observation group were higher than those of the control group,and the urination frequency and residual urine volume were less than those of the control group(P<0.05).After intervention,the scores of each dimension of Exercise of Self-Care Agency Scale(ESCA)in the observation group were higher than those in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion The problem-oriented targeted rehabilitation nursing training combined with focused solution mode can not only improve the urination function of patients with neurogenic bladder after spinal cord injury,but also improve their self-care ability and reduce the occurrence of complications,which is worthy of promotion.

关 键 词：以问题为导向 靶向性康复护理训练 聚焦解决模式 脊髓损伤神经源性膀胱 排尿功能 自护能力 

分 类 号：R473[医药卫生—护理学]