摘要
目的探究基于计划行为理论的靶向性康复训练对椎管内肿瘤神经源性膀胱(NB)患者膀胱功能恢复的效果。方法选取2019年8月至2022年7月郑州大学附属肿瘤医院接收的椎管内肿瘤NB患者86例,按照随机数字表法分为观察组(43例)和对照组(43例)。对照组接受常规康复训练,观察组接受基于计划行为理论的靶向性康复训练。比较两组排尿情况、尿动力学指标变化情况及生活质量评分,评估膀胱功能恢复情况及并发症发生情况。结果训练前,两组排尿情况、尿动力学指标、SF-36量表评分差异无统计学意义(P>0.05)。训练后,观察组最大排尿量多于对照组,日均尿失禁次数、残余尿量少于对照组(P<0.05);观察组最大尿道压力、最大尿流速率及膀胱排尿压力高于对照组(P<0.05);观察组SF-36量表评分高于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论基于计划行为理论的靶向性康复训练可促进椎管内肿瘤NB患者膀胱功能及排尿反射恢复,降低并发症发生率,提高患者生活质量。
Objective To explore the effects of targeted rehabilitation training based on theory of planned behavior(TPB)on the recovery of bladder function in patients with intraspinal tumors and neurogenic bladder(NB).Methods A total of 86 patients with spinal canal tumor NB admitted to Affiliated Cancer Hospital of Zhengzhou University from August 2019 to July 2022 were selected and randomly divided into an observation group(43 cases)and a control group(43 cases)using a random number table method.The control group received routine rehabilitation training,while the observation group received targeted rehabilitation training based on planned behavior theory.The urination status,changes in urodynamic indicators,and quality of life scores were compared between two groups,and the recovery of bladder function and incidence of complications were evaluated.Results Before training,there was no statistically difference in urination status,urodynamic indicators,and SF-36 scale scores between the two groups(P>0.05).After training,the maximum urination volume in the observation group was higher than that in the control group,and the daily frequency of urinary incontinence and residual urine volume were lower than those in the control group(P<0.05).The maximum urethral pressure,maximum urine flow rate,and bladder urination pressure in the observation group were higher than those in the control group(P<0.05).The SF-36 scale score in the observation group was higher than that in the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Targeted rehabilitation training based on planned behavior theory can promote the recovery of bladder function and urinary reflex in NB patients with intraspinal tumors,reduce the incidence of complications,and improve their quality of life.
作者
郝艾萍
杨福娜
HAO Aiping;YANG Funa(The Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital),Zhengzhou 450008,China)
出处
《河南医学研究》
CAS
2024年第6期1042-1046,共5页
Henan Medical Research
基金
河南省医学科技攻关计划联合共建项目(LHGJ20200194)。
关键词
计划行为理论
康复训练
椎管内肿瘤
神经源性膀胱
膀胱功能
theory of planned behavior
rehabilitation training
intraspinal tumor
neurogenic bladder
bladder function
作者简介
通信作者:郝艾萍,E-mail:Hnzzhap@sina.com。
