摘要
目的探讨延续性护理在清洁间隙导尿患者中的应用及效果。方法选取2013年7月-12月出院的47例需行清洁间隙导尿的脊髓损伤患者为对照组,在出院时对其实施常规护理指导;选取2014年1月-6月出院的51例需继续行清洁间隙导尿的脊髓损伤患者为研究组,除出院时进行常规护理指导外,出院后继续行延续性护理指导。采用电话随访方式,用"延续性护理对清洁间隙导尿患者护理影响调查表"对两组患者进行效果评价。结果与对照组比较,研究组患者在泌尿系统感染等并发症的发生率上明显降低,差异有统计学意义(P<0.05);研究组照料者对患者护理能力的掌握明显高于对照组,在清洁间隙导尿护理能力的掌握人数上,研究组亦高于对照组,差异有统计学意义(P<0.01)。结论出院后实施延续性护理,能提高照料者的护理能力,有效减少清洁间隙导尿相关并发症的发生。
Objective To explore the effect and significance of continuous nursing in patients with clean intermittent catheterization. Methods From July to December 2013, 47 patients with spinal cord injury still relying on clean intermittent catheterization were selected as the control group, whom were given the routine care and guidance. From lanuary to June 2014, 51 patients with spinal cord injury still relying on clean intermittent catheterization were selected as the study group; in addition to routine nursing instruction before leaving hospital, they were also guided with the continuous nursing. In the way of telephone follow-up, we analyzed the results via the questionnaire of the effect of continuous nursing for spinal cord injured patients with clean intermittent catheterization. Results The incidence of catheter related complications such as urinary tract infections in the study group was significantly lower than that in the control group （P 〈 0.05）. The caregivers＇ ability for patients in the study group was significantly higher than that in the control group （P 〈 0.01）. Conclusion The continuous follow-up nursing instruction can improve the nursing ability of caregivers, and effectively reduce the occurrence of catheter related complications.
出处
《华西医学》
CAS
2016年第11期1878-1881,共4页
West China Medical Journal
关键词
脊髓损伤
清洁间隙导尿
延续性护理
Spinal cord injury
Clean intermittent catheterization
Continuous nursing
