Journal of Modern Nursing Medicine
Journal of Modern Nursing Medicine. 2025; 4: (11) ; 10.12208/j.jmnm.20250567 .
总浏览量: 46
新疆医科大学第二附属医院 新疆乌鲁木齐
*通讯作者: 地里努尔·艾力,单位:新疆医科大学第二附属医院 新疆乌鲁木齐;
目的 探究个性化康复护理方案在神经源性膀胱患者中的应用效果。方法 选取2024年1月-2024年12月本院收治的神经源性膀胱患者80例进行研究,随机分为对照组和观察组,每组40例。对照组采用常规护理方案,观察组实施个性化康复护理方案,观察两组患者护理前后膀胱功能指标、尿动力学指标、并发症发生情况及生活质量变化。结果 观察组膀胱残余尿量减少例数34例(占85%)、自主排尿改善例数32例(占80%),尿动力学指标改善情况优于对照组;并发症发生率观察组为10%(4例)低于对照组27.5%(11例);生活质量评分观察组显著高于对照组(P<0.05)。结论 个性化康复护理方案能有效改善神经源性膀胱患者膀胱功能,降低并发症发生率,提升生活质量。
Objective To investigate the effectiveness of personalized rehabilitation care in patients with neurogenic bladder. Methods A total of 80 patients with neurogenic bladder admitted to our hospital from January to December 2024 were selected for the study, and they were randomly divided into a control group and an observation group, each consisting of 40 patients. The control group received routine care, while the observation group received personalized rehabilitation care. The study observed changes in bladder function, urodynamic parameters, complications, and quality of life before and after care. Results In the observation group, 34 cases (85%) showed a reduction in residual urine volume, and 32 cases (80%) improved their spontaneous urination. The improvement in urodynamic parameters was better than in the control group. The incidence of complications in the observation group was 10% (4 cases), which was lower than the control group's 27.5% (11 cases). The quality of life score in the observation group was significantly higher than that in the control group (P<0.05). Conclusion Personalized rehabilitation care can effectively improve bladder function in patients with neurogenic bladder, reduce the incidence of complications, and enhance quality of life.
[1] 王雪静,谢仙萍,吴志萍,等.ICF在神经源性吞咽障碍病人康复护理中的应用[J].护理研究,2023,37(20):3708-3715.
[2] 张琳,胡祎,宋媛,等.运动想象训练法联合康复护理对脑卒中患者神经源性膀胱功能的影响[J].国际护理学杂志,2023,42(6):4.
[3] 徐学云,汪艳,王爱凤,等.早期渐进式细节化康复护理训练在间歇性导尿术介入脊髓损伤后神经源性膀胱患者康复中的应用效果[J].智慧健康,2024,10(23):142-144.
[4] 郭长琼,谢洁,吴玉娥,等.个性化康复护理方案在神经源性膀胱患者中的应用效果[J].中西医结合护理(中英文),2024,10(12):9-12.
[5] 刘晓荣,张鼎,沙艳霞,等.以问题为导向实施靶向性康复护理训练结合聚焦解决模式对脊髓损伤神经源性膀胱患者排尿功能及自护能力的影响[J].临床医学研究与实践,2024,9(5):123-126.
[6] 张伟,李智伟,辛娟.系统性康复护理服务在脊柱脊髓损伤伴有神经源性膀胱功能障碍患者中应用的临床价值研究[J].中外医疗,2024,43(17):140-142.
[7] 张燕琴,王小丽,唐锐,等.铺灸联合系统康复护理对脊髓损伤后神经源性膀胱患者排尿功能及日常生活活动能力的影响[J].反射疗法与康复医学,2023,4(12):5-7.
[8] 王小宝,刘丽贞,赵桂熔,等.基于尿动力学的早期康复护理在神经源性膀胱功能障碍患者中的应用[J].中西医结合护理(中英文),2024,10(12):67-69.
[9] 简笑好."5E"康复护理模式在脊髓损伤后神经源性膀胱炎病人中的应用研究[J].每周文摘·养老周刊, 2023(2): 173-175.
[10] 胡艳,刘晓燕,陈赟.以循证问题为导向的康复理念基础下的三元联动延续护理在神经源性膀胱患者中的应用[J].中国医学创新, 2024, 21(4):109-114.