多维度协同护理对卒中后尿失禁住院患者生活质量的影响及康复效果

The effect of multidimensional collaborative nursing care on quality of life and rehabilitation research for hospitalized patients with urinary incontinence after stoke

目的探讨多维度协同护理对卒中后尿失禁住院患者生活质量的影响及评价其康复效果。方法采用随机对照试验,将84例卒中后尿失禁住院患者随机分为观察组(n=41)和对照组(n=43)。对照组进行一般常规护理,观察组在对照组的基础上实施多维度协同护理干预,在干预前及干预4周后分别收集两组相关资料进行比较,以评价患者生活质量及康复效果。结果干预4周后,观察组I-QOL总分明显高于对照组,差异有统计学意义(P <0. 01);观察组ICI-Q-SF评分较治疗前显著降低(P <0. 01),且明显低于对照组,差异有统计学意义(P <0. 05);白天排尿次数及尿失禁次数较治疗前降低,且显著低于对照组(P <0. 05);观察组痊愈8例,显效13例,有效13例,无效7例,有效率为82. 93%,明显高于对照组,差异有统计学意义(P <0. 01)。结论多维度协同护理干预可促进卒中后尿失禁住院患者康复,提高其生活质量,可以为临床制定护理干预体系提供参考借鉴。

Objective To investigate the effect of multidimensional collaborative nursing care on quality of life,and to evaluate its rehabilitation effect for the hospitalized patients with urinary incontinence( UI) after stoke. Methods Eighty-four patients were randomized to experimental group( n = 41) and control group( n = 43). The control group received conventional nursing care,as the experimental group received additional multidimensional collaborative nursing care. The quality of life and rehabilitation effect were analyzed by collecting relevant information before and 4 weeks after intervention. Results After 4-week intervention,the I-QOL score of experimental group was significantly lower than that of control group( P < 0. 01). The score of ICI-Q-SF in experimental group was significantly lower after intervention,and also lower than control group( P < 0. 01). The frequency of voiding in daytime and number of incontinence episodes of the experimental group was significantly lower than the control group( P < 0. 05). This study showed that there were 8 cases cured,13 cases significantly effective,13 cases improved,and 7 cases unchanged in experimental group with the effective rate of 82. 93%,which was significantly higher than that of control group( P < 0. 01). Conclusion Multidimensional collaborative nursing intervention can promote rehabilitation and improve the quality of life for the hospitalized patients with UI after stroke.