脑卒中伴尿失禁病人的护理干预

Nursing intervention of cerebral apoplexy patients complicated with urinary incontinence

[目的]探讨脑卒中伴尿失禁病人的护理干预效果。[方法]将58例脑卒中尿失禁病人随机分成观察组和对照组。对照组采用常规护理,包括定时放尿、膀胱冲洗、导尿管护理。观察组采用个体化的放尿,积极预防导尿管伴随的尿路感染,给予盆底肌训练指导和护理干预,观察3d、7d、14d、21d、28d不同时间病人排尿功能的恢复及尿路感染发生情况。[结果]观察组病人自控排尿能力改善,导尿管伴随尿路感染发生率与对照组比较差异有统计学意义(P<0.05)。[结论]加强脑卒中伴尿失禁病人的护理干预,有利于病人自控排尿能力的恢复,减少尿路感染的发生。

Objective. To probe into nursing intervention of cerebral apoplexy patients complicating with urinary incontinence. Methods：A total of 58 cerebral apoplexy patients complicating with urinary incontinence were randomly divided into test and control group. Patients of control group accepted nursing care as in routine including regular unclamp catheter, bladder irrigation and nursing of urinary catheter. Patients of test group were given individualized unclamp catheter,actively prevented catheter associated urinary tract infection. They were given systematic instructions and nursing intervention on excises of pelvic floor muscles. The occurrence of urinary tract infection and the rehabilitation of urination function of all cases were observed at 3 d,7 d, 14 d, 21 d and 28d respectively. Results ： Compared with control group, self - control urination ability of patients in test group had been improved （P〈0. 05）. And the incidence of urinary tract infection among test group cases was decreased significantly compared with control group （P〈0. 05）. Conclusions ： To strengthen nursing intervention for cerebral apoplexy patients complicating with urinary incontinence is profit for rehabilitation of self- control urination ability of them. And it can reduce the incidence of urinary tract infection for them.