肖萃

摘 要：目的 研究脊髓損伤后神经源性膀胱患者护理中集束化康复护理的应用。方法 选取于2016年2月～2017年5月入院68例脊髓损伤后神经源性膀胱患者作为研究对象，按照随机数字表法分为对照组和研究组，每组39例。对照组选用常规方式予以护理，研究组基于常规方式选用集束化康复护理模式；比较两组脊髓损伤后神经源性膀胱患者护理后满意度与护理前后膀胱容量、残余尿量。结果 研究组护理后满意度为97.44%，高于对照组79.49%，差异有统计学意义（P<0.05）。研究组护理前后膀胱容量分别为（199.64±20.05）ml、（408.87±23.14）ml，护理前后残余尿量分别为（185.29±19.86）ml、（69.71±11.75）ml，对照组护理前后膀胱容量分别为（199.73±20.12）ml、（300.41±19.88）ml，护理前后残余尿量分别为（184.93±19.94）ml、（107.64±15.28）ml，两组患者护理后膀胱容量、残余尿量优于护理前，差异有统计学意义（P<0.05）；研究组护理后膀胱容量、残余尿量优于对照组，差异有统计学意义（P<0.05）。结论 脊髓损伤后神经源性膀胱患者护理中集束化康复护理的应用效果显著，可供临床参考。

关键词：集束化康复护理；神经源性膀胱；脊髓损伤

中图分类号：R473.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.20.058

文章编号：1006-1959（2018）20-0183-03

Abstract：Objective To study the application of clustering rehabilitation nursing in the treatment of patients with neurogenic bladder after spinal cord injury.Methods From February 2016 to May 2017， 68 patients with neurogenic bladder after spinal cord injury were enrolled.The patients were divided into control group and study group according to random number table method，39 cases in each group. The control group was treated with routine methods.The study group selected the cluster rehabilitation nursing model based on routine methods.The post-care satisfaction and bladder volume and residual urine volume of the neurogenic bladder patients after spinal cord injury were compared.Results The post-treatment satisfaction of the study group was 97.44%，which was higher than that of the control group（79.49%），the difference was statistically significant（P<0.05）.The bladder capacity of the study group before and after treatment was（199.64±20.05）ml，（408.87±23.14）ml，and the residual urine volume before and after treatment was（185.29±19.86）ml， （69.71±11.75）ml，respectively.The bladder capacity of the control group before and after treatment was（199.73±20.12）ml，（300.41±19.88）ml，and the residual urine volume before and after treatment was（184.93±19.94）ml，（107.64±15.28）ml，respectively.The bladder volume and residual urine volume of the two groups were better than those before nursing，the difference was statistically significant （P<0.05）.The bladder volume and residual urine volume of the study group were better than the control group after treatment，the difference was statistically significant（P<0.05）.Conclusion The application of clustering rehabilitation nursing in patients with neurogenic bladder after spinal cord injury is significant and can be used for clinical reference.

Key words：Cluster rehabilitation nursing；Neurogenic bladder；Spinal cord injury

脊髓损伤（spinalcordinjury）作为一种脊柱外科病症，一旦发生会造成部分功能障碍，如排便功能障碍、排尿功能障碍及四肢运动障碍等。神经源性膀胱是脊髓损伤经常发生的一种并发症，会导致患者出现大小便功能失调、尿潴留，对患者身心健康有严重影响，因此应重视科学护理[1，2]。本研究选取我院68例脊髓损伤后神经源性膀胱患者作为研究对象，分析脊髓损伤后神经源性膀胱患者护理中集束化康复护理的应用效果，现报道如下。

1资料与方法

1.1一般资料 选取2016年2月～2017年5月赣州市人民医院68例脊髓损伤后神经源性膀胱患者作为研究对象，按照随机数字表法分为对照组和研究组，每组39例。对照组男性24例，女性15例；年龄31～56岁，平均年龄（40.54±4.98）岁；病程1～4 d，平均病程（1.74±0.56）d；致病原因：18例交通事故伤，21例高处坠落伤。研究组男女比例为25：14例；年龄31～57岁，平均年龄（40.61±5.03）岁；……