尿控管理对脊髓损伤患者神经源性膀胱症状及病耻感的影响
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女,硕士,护师

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2017年江西省教育厅青年项目(GJJ170139);2018年中国康复医学会康复护理专委会科研立项资助课题;2019年江西省卫生健康委科技计划项目(20195145)


Effects of urinary control management on neurogenic bladder symptoms and stigma in patients with spinal cord injury
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    摘要:

    目的 探讨尿控管理对脊髓损伤患者神经源性膀胱症状及病耻感的影响。方法 对49例脊髓损伤神经源性膀胱患者实施综 合尿控管理,即根据“膀胱安全容量”行间歇导尿、制定饮水计划并落实、加强膀胱功能训练,于患者入科、出院时、出院后1个月和 出院后3个月4个时间点,动态评估患者神经源性膀胱症状和慢性疾病病耻感。结果 患者4个时间点排尿方式比较,差异有统 计学意义(P<0.01);神经源性膀胱症状总分、失禁、储存和排空、泌尿系统并发症、生活质量评分比较,差异有统计学意义(均P< 0.01);慢性疾病病耻感总分及外在病耻感评分比较,差异有统计学意义(均P

    Abstract:

    Objective To explore the effects of urinary control management on neurogenic bladder symptoms and stigma in patients with spinal cord injury. Methods Totally 49 neurogenic bladder patients after spinal cord injury were treated with comprehensive urinary control management,including intermittent catheterization according to "safety capacity of the bladder", formulating and implementing water drinking plan, strengthening bladder function training, the patients′ neurogenic bladder symptoms and stigma of chronic diseases were dynamically evaluated at 4 time points of admission, discharge, 1 month and 3 months after discharge. Results The urination patterns were significantly different at four time points (P<0.01). There were significant differences in the total score of neurogenic bladder symptoms, the score of incontinence, storage and emptying, complications of urinary system and the score of quality of life(P<0.01 for all), and there were significant differences in the total score of chronic disease stigma and the score of external stigma (P<0.05 for both). Conclusion Conducting comprehensive urinary control management for neurogenic bladder patients after spinal cord injury, is benefit for patients′ bladder function recovering gradually, urination patterns changing, clinical symptoms improving and reducing their perceived stigma.

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张慧颖,邵秀芹,全爽,邹田子,李晓悦,米同舟.尿控管理对脊髓损伤患者神经源性膀胱症状及病耻感的影响[J].护理学杂志,2020,35(2):22-25

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  • 收稿日期:2019-08-01
  • 最后修改日期:2019-10-16
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  • 在线发布日期: 2022-08-29