早期集束化康复护理对脊髓损伤后神经源性膀胱患者的影响效果

Effects of early cluster rehabilitation nursing on bladder function,psychological status and quality of life in patients with neurogenic bladder after spinal cord injury

目的探讨早期集束化康复护理对脊髓损伤后神经源性膀胱患者膀胱功能、心理状态以及生活质量的影响。方法选取64例脊髓损伤后神经源性膀胱患者分为常规组(行常规护理)及实验组(行早期集束化康复护理干预),各32例,对比2组患者治疗后1个月膀胱功能、心理状态以及生活质量情况。结果治疗后1个月,2组残余尿量、膀胱容量均优于治疗前(P<0.05),且实验组优于常规组(P<0.05);2组焦虑、抑郁评分均低于治疗前(P<0.05),且实验组治疗后焦虑、抑郁评分低于常规组(P<0.05);2组生活质量评分均高于治疗前(P<0.05),且实验组治疗后生活质量评分高于常规组(P<0.05)。结论早期集束化康复护理干预能改善脊髓损伤后神经源性膀胱患者膀胱功能,缓解焦虑、抑郁等不良心理,有助于提高生活质量。

Objective To analyze the effects of early cluster rehabilitation nursing on blad- der function, psychological status and quality of life in patients with neurogenic bladder after spinal cord injury. Methods A total of 64 cases with neurogenic bladder after spinal cord injury were selected in our hospital and were divided into routine group and experimental group, with 32 cases in each group, receiving routine nursing care and early cluster rehabilitation nursing intervention, respectively. The changes of bladder function, psychological status and quality of life were compared between the two groups after 1 month of treatment. Results After 1 month of treatment, the residual urine volume and bladder capacity in the two groups were better than treatment before （P 〈 0.05） , and those levels in the experimental group were superior to the control group （P 〈 0.05 ） ; The scores of anxiety and depression in the two group were lower than treatment before （P 〈 0.05 ） , and those scores after the treatment in the experimental group were lower than that in the routine group （P 〈 0.05 ） ; The scores of quality of life in the two groups were higher than treatment before （P 〈 0.05 ） , and those scores in the experimental group after treatment were higher than in the routine group （P 〈 0.05 ）. Conclusion Early cluster rehabilitation nursing intervention can improve the bladder function in patients with neurogenic bladder after spinal cord injury, which can relieve their anxiety, depression and other negative motions, so it is helpful to improve their quality of life.