神经源性膀胱患者间歇导尿自我护理的路径化健康教育应用研究

Pathological Health Education Application Study of Intermittent Catheter Self-Care in Patients with Neurogenic Bladder

目的对神经源性膀胱患者间歇导尿自我护理中路径化健康教育应用效果进行分析和讨论。方法该次70例研究对象均为方便选取该院2015年8月—2018年4月接收的脊髓损伤患者,按照不同护理方法将其平均分为两组,每组35例,对照组接收常规健康教育,研究组则接受路径化健康教育,对两组知识知晓率、遵医率以及住院时间进行对比。结果对照组知晓率、屏气排尿法、残余尿量测量法、诱导排尿法以及插管操作方法遵医率分别是77.14%、51.43%、60.00%、54.29%、57.14%,研究组分别是94.29%、91.43%、85.71%、88.57%和91.43%,研究组均较对照组更高,差异统计学有意义(χ~2=4.200、13.720、5.851、10.080、10.769,P<0.05);对照组患者住院时间为(15.26±3.13)d;研究组住院时间为(9.41±2.41)d,研究组较对照组更低,差异有统计学意义(t=8.761;P<0.05)。结论神经源性膀胱患者间歇导尿自我护理过程中,应用路径化健康教育,不仅可以缩短住院时间,同时也可以促进知晓率以及遵医率的提高,在临床中值得不断采纳和推广。

Objective To analyze and discuss the application effect of pathological health education in intermittent catheterization self-care in patients with neurogenic bladder.Methods Seventy patients in this study were all patients with spinal cord injury received from August 2015 to April 2018 were convenient selected in the hospital.They were divided into two groups according to different nursing methods,35 cases in each group.The control group received routine health education.The study group received path-based health education and compared the knowledge awareness rate,compliance rate,and length of hospital stay between the two groups.Results The awareness rate of the control group,the breath holding method,the residual urine volume measurement method,the induced urination method,and the intubation operation method were 77.14%,51.43%,60.00%,54.29%,and 57.14%,respectively,and the study group was 94.29%.91.43%,85.71%,88.57%,and 91.43%,the study group were higher than the control group,the difference was statistically significant(χ2=4.200、13.720、5.851、10.080、10.769,P<0.05);the hospitalized time of the control group was(15.26±3.13)d,the hospitalization time of the study group was(9.41±2.41)d,and the study group was lower than the control group,the difference was statistically significant(t=8.761;P<0.05).Conclusion In the process of intermittent catheterization self-care in patients with neurogenic bladder,the application of path-based health education can not only shorten the length of hospital stay,but also promote the awareness rate and the improvement of compliance rate.It is worthy of continuous adoption and promotion in clinical practice.