综合膀胱功能训练对泌尿外科留置尿管患者临床效果情绪及生活质量的影响

Effect of comprehensive bladder function training on clinical effect,emotion and quality of life of patients with urinary catheter indwelling

目的探讨综合膀胱功能训练对泌尿外科留置尿管患者临床效果、情绪及生活质量的影响.方法将117例泌尿外科手术留置尿管患者按训练方法不同分为观察组55例,对照组62例,对照组予以常规护理干预,观察组在对照组基础上辅以综合膀胱功能训练,观察4周.于训练前后采用焦虑自评量表、抑郁自评量表评定焦虑抑郁情绪,生活质量综合评定问卷评定生活质量,统计两组训练依从性及拔管后并发症发生率.结果观察组训练依从率显著高于对照组(P<0.01),拔管后并发症发生率显著低于对照组(P<0.05).训练前两组各量表评分比较差异无统计学意义(P>0.05);训练后观察组焦虑自评量表、抑郁自评量表评分显著低于对照组(P<0.05或0.01),生活质量综合评定问卷总分及各维度评分显著高于对照组(P<0.05或0.01).结论综合膀胱功能训练能显著提高泌尿外科留置尿管患者的训练依从性,降低拔管后并发症发生率,改善患者的焦虑抑郁情绪,提高生活质量,优于常规护理.

Objective To explore the effect of comprehensive bladder function training on clinical effect,emotion and quality of life of patients with urinary catheter indwelling.Methods 117 patients with urethral intubation after urological surgery were divided into observation group(55 cases)who was given routine nursing intervention and control group(62 cases)who was given comprehensive bladder function training in addition and observed for 4 weeks.Before and after training,SAS and SDS were used to assess anxiety and depression,GQOLI was used to assess quality of life,the training compliance and the incidence of complications after extubation was counted.Results The training compliance rate in the observation group was significantly higher than that in the control group(P<0.01),and the incidence of complications after extubation was significantly lower than that in the control group(P<0.05).There was no significant difference in the scores of the two groups before training(P>0.05).After training,the SAS and SDS scores in the observation group were significantly lower than those in the control group(P<0.05 or 0.01),and the total GQOLI scores and scores in each dimension were significantly higher than those in the control group(P<0.05 or 0.01).Conclusions Comprehensive bladder function training has a significant clinical effect on patients with urinary catheter indwelling.It can reduce the incidence of complications after extubation,improve patients'anxiety and depression,improve quality of life,and is superior to conventional nursing.