摘要
目的探讨集束化护理对脊髓损伤后神经源性膀胱患者膀胱功能及康复效果的影响.方法选取2020年3月—2021年3月该院收治的脊髓损伤后神经源性膀胱患者50例为研究对象,按照随机数字表法分成观察组与对照组,每组25例.对照组采用常规护理,观察组采用集束化护理,比较两组患者的膀胱功能、康复效果、心理状态及生活质量.结果比较两组的膀胱容量,观察组护理后的膀胱容量大于对照组,组间差异有统计学意义(P<0.05).比较两组的残余尿量,观察组护理后的残余尿量少于对照组,组间差异有统计学意义(P<0.05).比较两组的护理总有效率,观察组的96.00%高于对照组的76.00%,差异有统计学意义(P<0.05).比较两组的焦虑、抑郁评分,观察组护理后的各项评分均低于对照组,组间差异有统计学意义(P<0.05).比较两组的各项生活质量评分,观察组护理后的各项评分均高于对照组,组间差异有统计学意义(P<0.05).结论脊髓损伤后神经源性膀胱患者采用集束化护理的效果显著,可缓解临床症状,提高膀胱容量,改善心理状态,提高生活质量,值得临床推广.
Objective To investigate the effect of cluster nursing on bladder function and rehabilitation effect in patients with neurogenic bladder after spinal cord injury.Methods 50 patients with neurogenic bladder after spinal cord injury admitted to the hospital from March 2020 to March 2021 were selected as the research objects,and were divided into an observation group and a control group according to random number table method,with 25 cases in each group.Routine nursing was used in the control group,and cluster nursing was used in the observation group.The bladder function,rehabilitation effect,psychological state and quality of life of patients in the two groups were compared.Results The bladder volume of the observation group was higher than that of the control group after nursing,and the difference was statistically significant(P<0.05).The residual urine volume of the observation group was lower than that of the control group after nursing,and the difference was statistically significant(P<0.05).The total effective rate of nursing in the observation group was 96.00%higher than 76.00%in the control group,the difference was statistically significant(P<0.05).The scores of anxiety and depression were compared between the two groups,and the scores of the observation group after nursing were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).The scores of quality of life of the two groups were compared,and the scores of the observation group after nursing were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Cluster nursing for patients with neurogenic bladder after spinal cord injury has a significant effect,which can relieve clinical symptoms,improve bladder capacity,improve psychological state and improve quality of life,and is worthy of clinical promotion.
作者
张静
陈芳
ZHANG Jing;CHEN Fang(Department of Acupuncture and Moxibustion Rehabilitation,The Second Hospital of Guangdong Province,Guangzhou Guangdong,510000,China)
出处
《反射疗法与康复医学》
2021年第16期54-57,共4页
Reflexology And Rehabilitation Medicine
关键词
集束化护理
脊髓损伤
神经源性膀胱
膀胱容量
康复效果
Cluster nursing
Spinal cord injury
Neurogenic bladder
Bladder volume
Rehabilitation effect
