自我效能理论在神经源性膀胱患者间歇导尿中的应用研究

Study on application of self-efficacy theory in patients with neurogenic bladder in intermittent catheterization

目的：探讨神经源性膀胱患者应用自我效能理论实施间歇导尿术对其储尿功能及并发症的影响。方法：2014年8月-2015年8月期间我院收治的因胸腰段脊髓损伤（SCI）导致的经尿动力学检查诊断为神经源性膀胱104例患者为研究对象,随机等分成对照组和试验组,对照组实施常规护理;试验组实施综合性自我效能理论护理,将两组患者的导尿情况、自我效能评分和并发症情况进行对比。结果：试验组导尿率以及恢复自主排尿率均明显高于对照组,平均残余尿量明显低于对照组,差异均具有统计学意义（P〈0.05）。试验组自我效能平均评分明显高于对照组,差异均具有统计学意义（P〈0.05）。试验组患者并发症发生率显著低于对照组（P〈0.05）。结论：应用自我效能理论针对神经源性膀胱患者实施间歇导尿,不会影响患者的储尿功能,并发症发生率低,安全性高,值得推广应用。

Objective：To explore the effects of using the method of intermittent catheterization with the application of self-efficacy theory in Neurogenic bladder patients on the urine storage function and its complication.Methods：Took the 104 patients who were admitted in our hospital during the period from August 2014 to August 2015 for spinal cord injury（ SCI） and diagnosed as neurogenic bladder patients as the research object.Then,divided them into control group and experimental group.The control group was implemented with routine nursing care,while the experimental group was implemented with comprehensive self-efficacy theory nursing,and compared the catheterization,nursing effects and the complications of the groups.Results：The rate of the catheterization and recovery of automatic micturition of the experimental group were apparently higher than those of the control group,and the average residual urine volume was obviously lower than that of the control group,the differences were statistically significant（ P〈0.05）.The self-efficacy scores of the experimental group were much higher than those in the control group,the difference was statistically important.Experimental group of higher level proportion of patients was obviously higher than that of control group,the ratio of low level of patients were significantly lower than those in the control group compared with statistical significance（ P〈0.05）.The incidence of complications of the experimental group was significantly lower than that of the control group（ P〈0.05）.Conclusion：The application of self efficacy theory in the implementation of intermittent catheterization to patients with neurogenic bladder does not affect the patient＇s urine storage function.It is worthy of popularization and application for its low complication incidence and high safety.