艾灸辅助治疗中风后尿失禁临床观察及循证护理实践

Application of moxa-moxibustion in treatment of urinary incontinence after apoplexy and related evidence-based nursing practice

目的探讨艾灸改善中风后尿失禁的效果,总结相关护理措施。方法 120例中风后尿失禁的患者分为观察组和对照组,各60例。在常规治疗的基础上,对照组采用常规艾灸盒治疗,观察组运用循证护理方法得出证据并形成建议,对艾灸的方法、灸量、时间、穴位的选择、艾灸的材质进行统一规定,并对护理人员进行统一培训。记录2组患者治疗前和治疗后连续72 h的排尿日记。结果干预后2组白天、夜间排尿次数与平均每次尿量与治疗前相比差异有统计学意义(P<0.05),且观察组改善效果优于对照组(P<0.05)。结论基于循证护理实践的艾灸治疗能进一步改善中风后尿失禁症状。

Objective To observe the clinical effect of moxa-moxibustion in treatment of urinary incontinence after apoplexy and to summarize related evidence-based nursing practice.Methods Totally 120 patients with urinary incontinence after apoplexy were assigned to the observation group and the control group,with 60 cases in each group. Patients in the control group received moxibustion therapy with normal moxa box,while patients in the observation group receive moxibustion therapy based on evidence-based nursing. The voiding diary of patients before and 72 hours after treatment were observed. Results The frequency of urination in daytime and nighttime were decreased and urine volume of each time was increased in both two group after treatment( P < 0. 01),and were better improved in the observation group than those in the control group( P < 0. 05). Conclusion Application of moxibustion therapy based on evidence-based nursing can further relieve the symptoms of urinary incontinence after apoplexy.