出院后定期门诊复查与延续性护理对脊髓损伤患者的影响比较

Comparison on effect of the regular review after discharge and continuing nursing for spinal cord injury patients

目的探讨出院后定期门诊复查与延续性护理对脊髓损伤患者膀胱功能恢复与重建、并发症及生活质量的影响。方法选取本院200例脊髓损伤患者随机分为对照组和实验组,各100例。2组患者住院期间均采用常规治疗和护理,对照组出院后行定期门诊复查,而实验组出院后行延续性护理。对比2组患者膀胱功能的恢复与重建、并发症发生率及生活质量。结果出院6个月后,实验组患者的膀胱功能恢复与重建明显优于对照组(P<0.05),尿路感染、肺部感染及压疮发生率均显著低于对照组,差异有统计学意义(P<0.05)。但2组患者的日常生活功能量表(ADL)评分差异无统计学意义(P>0.05)。结论脊髓损伤患者出院后实施延续性护理优于定期门诊复查,能有效促进膀胱功能恢复与重建,减少并发症的发生,提高生活质量,达到更好的康复效果。

Objective To observe effect of the regular review after discharge and continuing nursing on the recovery and reconstruction of bladder function, complication and quality of life in spinal cord injury. Methods A total of 200 patients with spinal cord injury in our hospital were randomly divided into control group and experimental group, with 100 cases in each group. All patients were given the routine treatment and care during hospitalization. The control group was given the regular review after discharge, and the experimental group was given the continuing nursing. Bladder function recovery and reconstruction, the incidence of complications and quality of life were compared. Results After 6 months of discharge, the recovery and reconstruction of bladder function in the experimental group were significantly better than the control group （ P 〉 0.05 ）. The urinary tract infection, lung infection and bedsores were significantly lower than the control group, the difference was significant（ P 〈0.05 ）. But there was no significant difference in the activity of daily living scale （ADL） score （P 〉 0.05）. Conclusion Continuing nursing after discharge for spinal cord injury patients were better than regular review. It can effectively promote the recovery and reconstruction of bladder function, reduce the incidence of complications and improve quality of life.