专人护理模式在神经源性膀胱患者中的应用效果评价-现代医学

专人护理模式在神经源性膀胱患者中的应用效果评价

单位：江苏省人民医院泌尿外科, 江苏南京 210000

分类号：R694.5;R473.6

出版年·卷·期（页码）：2019·47·第六期（720-724）

摘要：

目的：探讨专人护理模式对脊髓损伤致神经源性膀胱患者的护理效果。方法：选取我院2015年5月至2018年3月收治的脊髓损伤致神经源性膀胱患者80例，使用随机数字表法将其分为对照组（40例）及实验组（40例），对照组采用常规护理模式进行护理，实验组使用专人护理模式护理。使用焦虑自评量表（SAS）、抑郁自评量表（SDS）对患者心理状态进行评估，记录并比较两组膀胱功能、尿动力学指标、肾功能及生活质量。结果：护理前两组SAS、SDS评分，WHOQOL-BREF量表生理维度、社会关系评分，膀胱容量、压力，残余尿量，排尿次数，最大排尿量，最大尿流率及血肌酐（Scr）、血尿素氮（BUN）水平差异均无统计学意义（P>0.05）。护理后实验组SAS、SDS评分显著低于对照组，膀胱容量、膀胱压力、最大排尿量、最大尿流率显著高于对照组，残余尿量、排尿次数及Scr、BUN水平显著低于对照组，WHOQOL-BREF量表生理维度、社会关系评分显著高于对照组，差异均有统计学意义（P<0.05）。结论：专人护理能有效缓解脊髓损伤致神经源性膀胱患者的不良情绪，改善其膀胱功能及尿动力学指标，提高患者生活质量，值得临床推广。

Objective:To investigate the effect of special nursing care for patients with neurogenic bladder caused by spinal cord injury. Methods:Eighty patients with neurogenic bladder disease caused by spinal cord injury admitted to our hospital from May 2015 to March 2018 were randomly divided into the control group (40 cases) and the experimental group (40 cases). The control group was treated with a routine nursing model. The experimental group was treated with a personal care model.The state of mind was assessed by using the self-rating anxiety scale (SAS) and the self-rating depression scale (SDS). The bladder function, urodynamics, renal function and quality of life were recorded and compared. Results:Before nursing, there was no significant difference in SAS, SDS scores, physiological dimensions and social relationship scores of WHOQOL-BREF scale, bladder volume, bladder pressure, residual urine volume, urination frequency, maximum urine output, maximum urinary flow rate, serum creatinine (Scr) and blood urea nitrogen (BUN) levels between the two groups (P>0.05). After nursing, the SAS and SDS scores of the experimental group were significantly lower than those of the control group; bladder pressure, maximum urine output, and maximum urinary flow rate were significantly higher than those of the control group; the residual urine volume, urination frequency, serum Scr and BUN levels were significantly lower than those of the control group; physiological and social relationship scores of WHOQOL-BREF scale were significantly higher than those of the control group, and the difference was statistically significant (P<0.05). Conclusion:Specialized nursing care can effectively relieve the bad mood of patients with neurogenic bladder caused by myeloid injury, improve their bladder function and urodynamics, and improve the quality oftheir life. It is worthy of clinical promotion.

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