“互联网+康复”管理对不完全性脊髓损伤患者神经源性膀胱功能的影响

Effectiveness of Internet+Rehabilitation Management on Neurogenic Bladder Function in Patients with Incomplete Spinal Cord Injury

目的 探讨“互联网+康复”延续管理对不完全性脊髓损伤神经源性膀胱患者膀胱功能的影响。方法 将30例不完全性脊髓损伤神经源性膀胱患者按随机数字法分为观察组和对照组各15例,住院期间两组均采取常规护理措施,出院后对照组电话回访,观察组采用“互联网+康复”管理。治疗前及治疗后6个月采用间歇导尿依从性评估量表评价患者自我管理能力,尿流动力学检查评价膀胱功能(膀胱安全容量、自排尿量、残余尿量),泌尿系B超、尿液细菌培养、血常规和肾功检查评价泌尿系统并发症(泌尿系统感染、输尿管反流、肾功能异常)。结果 两组患者在治疗6个月后自我管理能力、膀胱功能、泌尿系统感染比较差异均有统计学意义(P<0.05),两组患者输尿管反流、肾功能异常发生数在治疗前后比较差异无统计学意义(P>0.05)。结论 “互联网+康复”延续管理能够提高不完全性脊髓损伤神经源性膀胱患者自我管理能力,降低并发症,促进患者膀胱功能恢复,值得临床推广。

Objective To observe effects of Internet+rehabilitation continuous management on bladder function in patients with neurogenic bladder with incomplete spinal cord injury.Methods 30 patients with neurogenic bladder caused by incomplete spinal cord injury were randomly divided into observation group(OG)and control group(CG)with 15 cases in each group.Routine nursing measures were take during hospitalization.After discharge,CG received a telephone return visit.OG was managed by Internet+rehabilitation.Before treatment and 6 months after treatment,patients self-management ability was evaluated by intermittent catheterization compliance evaluation scale,bladder function(safe bladder volume,self-urination volume,residual urine volume)was evaluated by urodynamic examination,and urinary system complications(urinary system infection,ureteral reflux,and renal function abnormality)were evaluated by B-ultrasound,urine Bacterial Culture,blood routine and renal function examination.Results There were significant differences in self-management ability,bladder function and urinary system infection after 6 months of treatment(P<0.05),and there was no significant difference in the number of hydronephrosis and renal dysfunction before and after treatment(P>0.05).Conclusion The continuous management of Internet+rehabilitation could improve self-management ability of neurogenic bladder patients with incomplete spinal cord injury,reduce complications,and promote recovery of bladder function in patients,which is worthy of clinical promotion.