ICF理念下膀胱管理对间歇性导尿患者出院准备度的影响

Effect of Bladder Management Under ICF Concept on Discharge Readiness of Patients With Intermittent Catheterization

目的探讨基于《国际功能、残疾及健康分类》(International Classification of Functioning,Disability and Health,ICF)理念下膀胱标准化管理方案在间歇性导尿患者出院准备度中的应用效果,为有效指导临床决策、促进患者主动参与和自我管理能力提升、优化出院指导质量提供思路和参考。方法选取2022年5月—2023年8月在江苏省常州市德安医院康复中心住院的因脊髓损伤所致间歇性导尿患者50例为研究对象,采用抽样便利数据表法分为观察组与对照组,各25例,最终收集到有效数据为对照组23例,观察组24例。对照组实施常规膀胱管理方案;观察组实施基于ICF理念的膀胱标准化管理方案。比较2组患者出院准备度、自我效能水平,并调查2组患者出院后1个月膀胱自我管理能力情况。结果出院时观察组出院准备度总分为92(87.50,96.00)分,对照组为80(78.00,84.00)分,差异有统计学意义(P<0.05)。出院时观察组自我效能评分为(86.58±5.49)分,对照组为(74.87±7.68)分,差异有统计学意义(P<0.05)。出院后1个月,观察组患者自我膀胱管理知识掌握与自我管理能力总分分别为(63.17±1.79)分、(83.21±4.06)分,均高于对照组的(42.52±3.23)分、(66.57±5.23)分,差异有统计学意义(P<0.05)。结论基于ICF理念的膀胱标准化管理方案可以提高间歇性导尿患者的自我效能和膀胱管理能力,以获得最佳的出院准备度,促进患者完成从医院专业照护到自我照护的顺利过渡,提升医疗服务效率和质量,改善出院后生活质量。

Objective To explore the application effect of standardized bladder management scheme based on ICF concept in discharge readiness of patients with intermittent catheter,and to provide ideas and references for effectively guiding clinical decision-making,promoting patients'active participation and self-management ability improvement,and optimizing the quality of discharge guidance.Methods A total of 50 patients with intermittent urinary catheterization due to spinal cord injury who were hospitalized in rehabilitation center,Jiangsu Provincial Changzhou Dean Hospital from November 2022 to August 2023 were selected as the study objects,and were divided into observation group and control group by sampling convenience data table method,with 25 cases in each group,finally effective data were collected for 23 cases in the control group and 24 cases in the observation group.The observation group implemented standardized bladder management scheme based on ICF concept.The discharge readiness and self-efficacy of the two groups were compared,and the bladder self-management ability of the two groups was investigated 1 month after discharge.Results The total score of discharge readiness in the observation group was 92(87.50,96.00)points,while in the control group it was 80(78.00,84.00)points,with a statistically significant difference(P<0.05).At discharge,the self-efficacy score of the observation group was(86.58±5.49)points,while the control group was(74.87±7.68)points,with a statistically significant difference(P<0.05).One month after discharge,the total scores of self-bladder management knowledge and self-management ability in observation group were(63.17±1.79)points and(83.21±4.06)points,respectively,which were higher than those in control group(42.52±3.23)points and(66.57±5.23)points,and the difference was statistically significant(P<0.05).Conclusion The standardized bladder management scheme based on ICF concept can improve the self-efficacy and bladder management ability of patients with intermittent catheterization,so as to obtain the best discharge readiness,promote the smooth transition from hospital professional care to self-care,improve the efficiency and quality of medical services,and improve the quality of life after hospital.