个性化护理对脊髓损伤患者神经源性膀胱功能恢复训练效果的影响

Effect of individualized nursing on neurogenic bladder function recovery training in patients with spinal cord injury

目的:观察因脊髓损伤所致神经源性排尿功能障碍的患者采用个性化护理的效果分析。方法:选取以脊髓损伤为诊断出现排尿功能障碍的患者160例,随机分为常规护理80例的对照组与个性化护理的80例护理组。将两组的膀胱功能及尿路感染情况对照解析。结果:护理组在膀胱容量、尿量残余与拔除尿管时间上,明显少于对照组,且护理组尿路感染率为8.75%,对照组为36.25%,差异具有统计学意义(P<0.05)。结论:对于脊髓损伤患者出现的膀胱功能障碍,采用个性化护理对其恢复功能,减少残余尿量,降低尿路感染发生率效果理想,值得临床推广。

Objective To observe the effect of individualized nursing care on patients with neurogenic voiding dysfunction caused by spinal cord injury. Method 160 cases of patients with voiding dysfunction diagnosed by spinal cord injury were select-ed and randomly divided into 80 cases of control group ： routine nursing, a nd 80 cases of nursing group ： individualized nursing care. The bladder function and urinary tract infection of the two groups were compared and analyzed. Results T h e nursing group in the bladder capacity,residual urine volume and urinary catheter removal time,significantly less than the control group,the uri-nary tract infection rate of nursing group was 8. 7 5 % ,36. 2 5 % in the control group,the difference w as statistically significant （P 〈 0. 05 ）. Conclusion For the bladder dysfunction in patients with spinal cord injury individualized nursing is ideal for restoring function, reducing residual urine volume and reducing the incidence of urinary tract infection. It is worthy of clinical promotion.