脊髓损伤神经源性膀胱病人膀胱管理依从性的动态调查

A dynamic survey of bladder management compliance in neurogenic bladder patients with spinal cord injury

[目的]探讨脊髓损伤神经源性膀胱病人膀胱管理依从性,为实施护理干预提供参考依据。[方法]选取在宁夏某三级甲等医院康复医学科住院的脊髓损伤神经源性膀胱病人85例,由研究人员自病人发病的第2周起,每2周测量膀胱管理依从性水平,连续测量至第24周。采用Cubic模型对数据进行曲线拟合,绘制膀胱管理依从性曲线。[结果]入院第4周病人依从性得分最高为42.48分±3.85分,第22周依从性得分最低为29.2分±4.52分,病人膀胱管理依从性得分随时间呈动态变化的过程,依从曲线呈现横"S"形。[结论]病人膀胱管理依从性是动态变化的,应根据病人依从性变化规律,合理地制订护理干预计划,促进病人康复。

To explore the bladder management compliance of neurogenic bladder patients with spinal cord injury,and to provide reference for the implementation of nursing intervention.Methods：Eighty-five patients with spinal cord injury neurogenic bladder hospitalized in a rehabilitation department of a third-grade hospital in Ningxia were selected.The researchers measured the bladder management compliance level every 2 weeks from the second week of the patient′s onset.24 weeks.Curves were fitted to the data using the Cubic model to map the bladder management compliance curve.Results：In the fourth week of admission,the highest patient compliance score was（42.48±3.85）points,and the lowest compliance score in the 22nd week was （29.20±4.52）points.The patient′s bladder management compliance score changed dynamically with time,and the compliance curve showed a horizontal ＂S＂.＂type.Conclusion：The bladder management compliance of patients is dynamic,and the nursing intervention plan should be rationally formulated according to the change rule of patient compliance to promote the rehabilitation of patients.