1例颈部脊髓损伤患者二便康复护理

Rehabilitation Care of Second Stool in a Patient with Cervical Spinal Cord Injury

采集1例颈部脊髓损伤患者的神经源性膀胱尿道和神经源性肠道的二便情况的临床数据,归纳临床护理重点。通过严密监视患者排尿、排便状态,给予膀胱容量和压力测定,制定饮水时间表,进行膀胱功能锻炼,提高膀胱排空能力,防止感染,维持患者肾功能。改善患者生命质量,拔除尿管,实施间歇导尿,制定间歇导尿时间表(6次/d)。每天晚餐后30min,予患者腹部按摩、手指直肠刺激术、指导扩肛动作、重视心理疏导,做好延续性护理。通过积极有效的护理和治疗,患者顺利拔除尿管,实施间歇导尿。护士在临床通过密切观察脊髓损伤患者二便情况,采取有效的护理及治疗,能有效预防并发症的发生。

Clinical data of second stool on diaphoresis of neurogenic vesicourethral and neurogenic bowel in one patient with cervical spinal cord injury were collected to summarize the clinical nursing priorities.By closely monitoring the patient's urinary and bowel status,giving bladder capacity and pressure measurements,setting up a drinking schedule,performing bladder function exercises,improving bladder emptying ability,preventing infections,and maintaining the patient's renal function.Improve the quality of life of patients,remove the urinary catheter,implement intermittent catheterization,and develop a schedule of intermittent catheterization(6 times/d).Every day after dinner for 30 min,give the patient abdominal massage,finger rectal stimulation,guide the anal dilatation action,pay attention to psychological guidance,and do a good job of continuity of care.Through active and effective nursing care and treatment,the patient was successfully removed from the urinary catheter and intermittent catheterization was implemented.Nurses in the clinic can effectively prevent complications by closely observing the second stool condition of patients with spinal cord injury and adopting effective nursing care and treatment.