中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
28期
3472-3475
,共4页
脊髓损伤%膀胱,神经源性%PDCA循环管理%个体化训练
脊髓損傷%膀胱,神經源性%PDCA循環管理%箇體化訓練
척수손상%방광,신경원성%PDCA순배관리%개체화훈련
Spinal cord injury%Bladder,neurogenic%PDCA%Individualize training
目的 探讨PDCA循环管理联合个体化训练对完全性脊髓损伤(SCI)后神经源性膀胱患者康复疗效的影响.方法 将60例完全性SCI患者采用随机数字表法分为观察组和对照组,每组30例.对照组患者给予常规护理,观察组在PDCA管理下结合患者损伤平面给予个体化膀胱功能训练,比较两组患者膀胱功能康复效果、自主排尿时间、残余尿量、ADL评分及尿路感染发生率.结果 经康复护理训练后,观察组中颈髓、胸髓、腰髓损伤患者的自主排尿时间分别为(36.78±9.41),(43.85±10.17),(52.26±7.52)d,对照组分别为(51.02±8.59),(59.53±11.43),(63.09 ±8.18)d,两组比较差异有统计学意义(t值分别为6.12,5.61,5.34；P＜0.05)；观察组尿路感染发生率为16.67％,对照组为46.67％,两组比较差异有统计学意义(x2=6.24,P＜0.05)；观察组患者出院时平均ADL评分为(60.59±15.64)分,高于对照组的(50.07 ±14.85)分,两组比较差异有统计学意义(t=2.67,P＜0.05).结论 PDCA管理联合个体化训练可以有效恢复完全性SCI患者膀胱生理功能,减少尿路感染的发生率,提高患者的生活质量,缩短康复周期.
目的 探討PDCA循環管理聯閤箇體化訓練對完全性脊髓損傷(SCI)後神經源性膀胱患者康複療效的影響.方法 將60例完全性SCI患者採用隨機數字錶法分為觀察組和對照組,每組30例.對照組患者給予常規護理,觀察組在PDCA管理下結閤患者損傷平麵給予箇體化膀胱功能訓練,比較兩組患者膀胱功能康複效果、自主排尿時間、殘餘尿量、ADL評分及尿路感染髮生率.結果 經康複護理訓練後,觀察組中頸髓、胸髓、腰髓損傷患者的自主排尿時間分彆為(36.78±9.41),(43.85±10.17),(52.26±7.52)d,對照組分彆為(51.02±8.59),(59.53±11.43),(63.09 ±8.18)d,兩組比較差異有統計學意義(t值分彆為6.12,5.61,5.34；P＜0.05)；觀察組尿路感染髮生率為16.67％,對照組為46.67％,兩組比較差異有統計學意義(x2=6.24,P＜0.05)；觀察組患者齣院時平均ADL評分為(60.59±15.64)分,高于對照組的(50.07 ±14.85)分,兩組比較差異有統計學意義(t=2.67,P＜0.05).結論 PDCA管理聯閤箇體化訓練可以有效恢複完全性SCI患者膀胱生理功能,減少尿路感染的髮生率,提高患者的生活質量,縮短康複週期.
목적 탐토PDCA순배관리연합개체화훈련대완전성척수손상(SCI)후신경원성방광환자강복료효적영향.방법 장60례완전성SCI환자채용수궤수자표법분위관찰조화대조조,매조30례.대조조환자급여상규호리,관찰조재PDCA관리하결합환자손상평면급여개체화방광공능훈련,비교량조환자방광공능강복효과、자주배뇨시간、잔여뇨량、ADL평분급뇨로감염발생솔.결과 경강복호리훈련후,관찰조중경수、흉수、요수손상환자적자주배뇨시간분별위(36.78±9.41),(43.85±10.17),(52.26±7.52)d,대조조분별위(51.02±8.59),(59.53±11.43),(63.09 ±8.18)d,량조비교차이유통계학의의(t치분별위6.12,5.61,5.34；P＜0.05)；관찰조뇨로감염발생솔위16.67％,대조조위46.67％,량조비교차이유통계학의의(x2=6.24,P＜0.05)；관찰조환자출원시평균ADL평분위(60.59±15.64)분,고우대조조적(50.07 ±14.85)분,량조비교차이유통계학의의(t=2.67,P＜0.05).결론 PDCA관리연합개체화훈련가이유효회복완전성SCI환자방광생리공능,감소뇨로감염적발생솔,제고환자적생활질량,축단강복주기.
Objective To explore the effect of PDCA combination with individualize training on rehabilitation of patients with neurogenic bladder after spinal cord injury (SCI).Methods Sixty patients with SCI were randomly divided into control group and experimental group,each with 30 cases.The patients in the control group received routine nursing care.Patients in the experimental group received PDCA circulation combined with individualize nursing.The effect of bladder function,the time of self-voiding,residual urine volume (RUV),the mark of ADL,and the incidence of infection of urinary system were recorded and compared between two groups.Results After individualize training on rehabilitation of patients,the time of self-voiding in SCI patients with cervical,thoracic spinal cord,lumbar injury were respectively (36.78 ± 9.41),(43.85 ±10.17),(52.26 ± 7.52) d in the experimental group,and (51.02 ± 8.59),(59.53 ± 11.43),(63.09 ±8.18) d in the control group,and the differences were statistically significant (t =6.12,5.61,5.34,respectively; P ＜0.05).The incidence of infection of urinary system was 16.67％ in the experimental group,and 46.67％ in the control group,and the difference was statistically significant (x2 =6.24,P ＜ 0.05).The mark of ADL was (60.59 ± 15.64) in the experimental group when the patients discharged from hospital,and was higher than (50.07 ± 14.85) in the control group,and the difference was statistically significant (t =2.67,P ＜0.05).Conclusions PDCA combination with individualize training can effectively recover bladder physiological function in patients with SCI,reduce the incidence of infection of urinary system,improve the patients' quality of life,and shorten the recovery cycle.
