CAJ | 학술논문

目的：探讨强化康复单元(IRCU)脑外伤患者膀胱功能流程管理的模式及效果。方法2011年2月~2012年12月收治的33例患者设为对照组，2013年1月~2014年12月收治的39例患者设为实验组。对照组给予留置尿管常规评估及护理，干预组给予膀胱功能流程管理，方法包括建立膀胱功能管理工作规范及流程、评估拔管指征、根据残余尿量进行膀胱护理、建立排尿日记等。结果干预21 d后，实验组达到自主排尿且残余尿量<100 ml的例数较对照组多，导尿管相关尿路感染发生率较对照组低(均P<0.05)。结论对强化康复单元脑外伤患者进行膀胱功能流程管理，有利于患者膀胱功能的恢复，缩短康复时间，降低导尿管相关尿路感染发生率。
목적：탐토강화강복단원(IRCU)뇌외상환자방광공능류정관리적모식급효과。방법2011년2월~2012년12월수치적33례환자설위대조조，2013년1월~2014년12월수치적39례환자설위실험조。대조조급여류치뇨관상규평고급호리，간예조급여방광공능류정관리，방법포괄건립방광공능관리공작규범급류정、평고발관지정、근거잔여뇨량진행방광호리、건립배뇨일기등。결과간예21 d후，실험조체도자주배뇨차잔여뇨량<100 ml적례수교대조조다，도뇨관상관뇨로감염발생솔교대조조저(균P<0.05)。결론대강화강복단원뇌외상환자진행방광공능류정관리，유리우환자방광공능적회복，축단강복시간，강저도뇨관상관뇨로감염발생솔。
Objective To explore the efficacy of process management on bladder function among traumatic brain injury (TBI) patients admitted to intensive rehabilitation and care unit (IRCU). Methods 33 cases were collected to control group who were cared with routing nursing during February, 2011 to December, 2012. Other 39 cases were recruited to trial group cared with process management of bladder function during January, 2013 to December, 2014. Process management of bladder function contained the establishment of process manage-ment guide, evaluation of removing catheter, nursing of bladder based on residue of urine volume and keeping a diary of urination, etc. Re-sults There were more cases with residue of urine volume less than 100 ml and less with catheter associated urinary tract infection in the tri-al group than in the control group (P<0.05). Conclusion Process management of bladder function can improve the recovery of bladder func-tion of TBI patients, shorten rehabilitation time and decrease the risk of catheter associated urinary tract infection.