摘要
目的：探讨家属同步健康教育改善脊髓损伤膀胱排尿功能障碍患者间歇性导尿依从性的应用效果。方法2012年1月—2013年12月将60例因脊髓损伤所致排尿功能障碍的患者按入院时间顺序分成观察组和对照组，各30例。对照组对患者进行常规健康教育，观察组采用家属同步健康教育，贯穿于整个住院过程及出院随访中。在患者自行间歇性导尿后第30天、第60天对两组患者泌尿系管理掌握程度、满意度、依从性及并发症发生情况进行观察及统计分析。结果患者自行间歇性导尿后第30天、第60天，观察组患者对泌尿系管理的认知得分和满意度评分均高于对照组，差异有统计学意义（ P〈0.01）。依从性方面，第30天时，按时导尿、按量饮水、正确评估残余尿量和正确进行膀胱功能训练的依从性差异无统计学意义（ P〈0.05），观察组正确调整时间、导尿操作正确的依从性高于对照组，差异有统计学意义（ P〈0.05）；第60天时，观察组在各方面的依从性均高于对照组，差异有统计学意义（ P〈0.05）。两组患者并发症发生情况比较，第30天时，观察组泌尿系感染发生率低于对照组，差异有统计学意义（ P〈0.05），两组膀胱结石和尿道黏膜出血发生率差异无统计学意义（ P〈0.05）；第60天时，观察组泌尿系感染和尿道黏膜出血发生率低于对照组，差异有统计学意义（ P〈0.05），两组膀胱结石发生率差异无统计学意义（ P〈0.05）。结论家属同步健康教育可提高患者间歇性导尿的依从性，减少各种并发症的发生，提高患者的满意度。
Objective To explore the applied effect of families synchronous health education on compliance with intermittent catheterization in patients with spinal cord injury and bladder voiding dysfunction. Methods A total of 60 patients with spinal cord injury caused bladder voiding dysfunction were randomly divided into observation group and control group in admitted chronological order. Patients in control group were given routine nursing; experimental group on the basis of conventional nursing, were applied families synchronous health education throughout the whole process of hospitalization and discharge follow-up. After 30 and 60 days′ self-intermittent catheterization, two groups′ urinary tract management of cognition, satisfaction, compliance and complications were observed and statistically analyzed. Results After 30 and 60 days′ self-intermittent catheterization, the observation group′ urinary tract management of cognition and satisfaction score were higher than those of the control group（ P〈0.01） . About the compliance, on the 30th day, two groups′urethral catheterization in time, volume of water intake, correctly evaluation residual urine volume and correctly bladder function training had no statistically difference （ P〉0. 05）; the observation group′s properly adjusting time and correctly operation of urethral catheterization was higher than the control group（P〈0.05）; on the 60th day, all kinds of aspects of observation group were better than the control group（ P〈0.05） . About the complication, on the＆amp;nbsp;30th day, the urinary infection rate of observation group was lower than that of the control group（ P〈0.05）;there were no difference on the rate of cystolith and urinary mucosa bleeding of two groups（ P〉0.05）;on the 60th day, the rate of cystolith and urinary mucosa bleeding of the observation group were lower than those of the control group （ P〈0. 05 ）; two groups′ incidence of bladder calculi had no difference （ P〉0. 05 ） . Conclusions Families synchronous health education actively, can improve the compliance of patients with intermittent catheterization and reduce related complications, thus improve the patients′satisfaction.
出处
《中华现代护理杂志》
2016年第23期3334-3338,共5页
Chinese Journal of Modern Nursing
基金
2012年度汕头市医疗重点科技计划项目[汕府科（2012）113号]
关键词
健康教育
脊髓损伤
膀胱排尿功能障碍
间歇性导尿
家属同步
Health education
Spinal cord injury
Bladder voiding dysfunction
Intermittent catheterization
Families synchronous
