神经源性膀胱病人出院准备服务流程

Discharge preparation service process for patients with neurogenic bladder

目的总结神经源性膀胱病人出院准备服务流程。方法回顾性分析2021年3月至2021年12月收治的18例脊髓损伤或脊髓占位导致的神经源性膀胱病人的出院准备度服务流程,主要包括健康教育、出院计划及出院标准。结果3例病人出院后恢复自主排尿;8例病人出院后行清洁间歇导尿,主要照顾者学会行清洁间歇导尿;7例病人出院后行清洁间歇导尿配合手法排尿。18例病人出院3个月随访均无泌尿系感染,无膀胱输尿管反流,无膀胱结石。18例病人自我管理量表评分22.2~25.4分,平均(22.6±0.56)分。结论对于脊髓损伤或脊髓占位导致的神经源性膀胱病人,规范完善的出院准备服务流程有助于预防并发症,促进膀胱功能恢复,改善病人的生存质量。

Objective To summarize the discharge preparation service process for patients with neurogenic bladder.Methods A retrospective analysis was conducted on the discharge preparedness service process of 18 patients with neurogenic bladder caused by spinal cord injury or spinal cord space-occupying lesions from March 2021 to December 2021.The main contents included health education,discharge planning and discharge criteria.Results Three patients regained spontaneous urination after discharge;8 patients underwent clean intermittent catheterization after discharge,and the main caregivers learned to perform clean intermittent catheterization;7 patients underwent clean intermittent catheterization combined with manual urination after discharge.None of the 18 patients had urinary tract infection,vesicoureteral reflux or bladder stones at the 3-month follow-up after discharge.The score of the self-management scale for the 18 patients ranged from 22.2 to 25.4,with an average of(22.6±0.56)points.Conclusion For patients with neurogenic bladder caused by spinal cord injury or spinal cord space-occupying lesions,a standardized and improved discharge preparation service process is conducive to preventing complications,promoting bladder function recovery and improving the quality of life of patients.