神经源性膀胱功能障碍评估与管理相关指南的整合研究

Integrated Study of Guidelines on Assessment and Management of Neurogenic Bladder Dysfunction

目的对现有的神经源性膀胱功能障碍评估与管理相关指南进行整合,从而形成本土化证据资源。方法以ADAPTE方法为依据,形成神经源性膀胱功能障碍评估与管理的临床护理实践草案,通过神经源性膀胱功能障碍患者与相关专家的相继论证,对推荐意见进行评价并整合,最终修订形成正式版指南。结果最终纳入5篇循证指南,整合形成的指南内容包括神经源性膀胱功能障碍的分类、病史采集、相关检查、导尿建议及辅助膀胱管理措施共5个主题,共20条推荐意见。结论本研究整合形成了神经源性膀胱功能障碍评估与管理领域高质量的循证资源,为临床中的循证护理实践提供了参考和依据。

Objective To integrate the existing guidelines for the assessment and management of neurogenic bladder dysfunction,and to form localized evidence.Methods Based on the ADAPTE method,a draft of clinical nursing practice for the assessment and management of neurogenic bladder dysfunction was developed.The recommendations were evaluated and integrated through successive demonstration of patients with neurogenic bladder dysfunction and relevant experts,and the official guidelines were finally formed.Results Five guidelines were integrated and included 5 topics of classification of neurogenic bladder dysfunction,history collection,relevant examinations,recommendations for catheterization and measures to assist bladder management,with a total of 20 recommendations.Conclusion This study integrates and forms high-quality evidence-based resources in the field of assessment and management of neurogenic bladder dysfunction,providing reference and basis for clinical evidence-based nursing practice.