摘要
目的探讨综合护理对脊髓损伤后神经源性膀胱功能、心理状态及整体生活质量的影响。方法选择100例脊髓损伤伴神经源性膀胱患者,随机分为干预组和对照组各50例;对照组执行常规护理,干预组执行综合护理,比较两组膀胱功能、焦虑和抑郁状态、生活质量及尿道感染发生率。结果干预后两组的膀胱容量、残余尿量、排尿次数、LUTS均得到明显改善,干预前后比较差异有统计学意义(P<0.05),干预后干预组的膀胱容量明显大于对照组(P<0.05),残余尿量、排尿次数、LUTS均明显小于对照组(P<0.05)。干预后干预组的SAS和SDS评分明显低于干预前且明显低于对照组(P<0.05)。干预后干预组的生理领域、心理领域、社会关系领域和总分均较干预前明显提高且明显高于对照组(P<0.05),对照组的生理领域较干预前明显提高(P<0.05)。干预组和对照组分别有4例(8.00%)和12例(24.00%)发生尿路感染,两组发生率比较差异有统计学意义(P<0.05)。结论综合护理有助于促进脊髓损伤后神经源性膀胱功能恢复,改善患者心理状态和整体生活质量,减少并发症。
Objective To investigate the impact of the integrated care on integrated care, mental status and overall quality of life of neurogenic bladder after spinal cord injury. Methods A total of 100 patients with neurogenic bladder and spinal cord injury were randomly assigned to the intervention group and the control group, 50 patients in the control group performed routine care, the implementation of integrated care were received in intervention group, the bladder function, anxiety and depression, life quality and the incidence of urinary tract infections were compared. Results After the intervention, bladder capacity, residual urine volume, frequency of urination, LUTS were significantly improved, the difference of them was statistically significant before and after the intervention（P〈0.05）, bladder capacity of the intervention group was significantly higher than that of the control group（P〈0.05）, residual urine volume, frequency of urination, LUTS were significantly lower than those of the control group（P〈0.05）. After the intervention, SAS and SDS scores were significantly lower than before the intervention and the control group（P〈0.05）. After the intervention,physical domain, before the psychological field, the field of social relations and the scores in intervention group improved significantly compared before intervention and control group（P〈0.05）. The areas of physical domain of control group were significantly higher than before intervention（P〈0.05）. The intervention group and control group were 4 cases（8.00%） and 12 cases（24.00%） urinary tract infection, the incidence of the two groups was statistically significant（P〈0.05）. Conclusion Comprehensive care helps to promote spinal cord injury after neurogenic bladder function recovery and improve the mental state of the patient and the overall quality of life, reduce complications.
出处
《中国现代医生》
2015年第18期145-148,共4页
China Modern Doctor
基金
浙江省医药卫生科技成果(200820320)
关键词
脊髓损伤
神经源性膀胱
心理状态
综合护理
Spinal cord injury
Neurogenic bladder
Psychological state
Integrated care
