首页|"5E"康复护理联合Crede膀胱功能训练在脊髓损伤后神经源性膀胱患者中的应用

"5E"康复护理联合Crede膀胱功能训练在脊髓损伤后神经源性膀胱患者中的应用

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目的 探讨脊髓损伤(SCI)后神经源性膀胱(NB)患者中采用"5E"康复护理联合Crede膀胱功能训练的效果。方法 选取2021年9月至2023年1月驻马店市中心医院收治的86例SCI后NB患者,以随机数字表法分成干预组(n=43,"5E"康复护理联合Crede膀胱功能训练)与对照组(n=43,常规护理),对两组膀胱功能、排尿指标及生存质量进行比较。结果 干预后,两组膀胱容量、最大尿流速均有所提高,残余尿量有所减少,且干预组膀胱容量、最大尿流速高于对照组,残余尿量少于对照组,差异有统计学意义(P<0。05);干预后,两组患者排尿次数、每日漏尿次数均有所减少,每次排尿量有所增加,且干预组排尿次数、每日漏尿次数少于对照组,干预组每次排尿量多于对照组,差异有统计学意义(P<0。05);干预后,两组世界卫生组织生存质量测定量表(WHOQOL-BREF)评分提高,且干预组高于对照组,差异有统计学意义(P<0。05)。结论 "5E"康复护理联合Crede膀胱功能训练应用于SCI后NB患者中,可改善膀胱功能及排尿指标,提高生活质量。
Application of"5E"Rehabilitation Nursing Combined with Crede Bladder Function Training in Patients with Neurogenic Bladder after Spinal Cord Injury
Objective To explore the effect of"5E"rehabilitation nursing combined with Crede bladder function training in patients with neurogenic bladder(NB)after spinal cord injury(SCI).Methods 86 patients with NB after SCI admitted to Zhumadian Central Hospital from September 2021 to January 2023 were selected and divided into intervention group(n=43,"5E"rehabilitation nursing combined with Crede bladder function training)and control group(n=43,routine nursing)by random number table method.The bladder function,urination indicators,and quality of life of the two groups were compared.Results After intervention,the bladder capacity and maximum urine flow rate of both groups increased,and the residual urine volume decreased.The bladder capacity and maximum urine flow rate of the intervention group were higher than those of the control group,and the residual urine volume was less than that of the control group,with statistically significant differences(P<0.05).After intervention,the number of urinations and daily leakage times of both groups decreased,and the amount of urine per time increased.The number of urinations and daily leakage times of the intervention group were less than those of the control group,and the amount of urine per time of the intervention group was more than that of the control group,with statistically significant differences(P<0.05).After intervention,the scores of the World Health Organization Quality of Life Scale(WHOQOL-BREF)of both groups increased,and the intervention group was higher than the control group,with statistically significant differences(P<0.05).Conclusion The application of"5E"rehabilitation nursing combined with Crede bladder function training in patients with NB after SCI can improve bladder function and urination indicators and improve the quality of life.

"5E"rehabilitation nursingcrede bladder function trainingspinal cord injuryneurogenic bladder

乔文华、赵玉莲

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驻马店市中心医院 康复医学科,河南 驻马店 463000

驻马店市中心医院 神经内一科,河南 驻马店 463000

"5E"康复护理 Crede膀胱功能训练 脊髓损伤 神经源性膀胱

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(8)