[1]徐玲,詹昱新,许妮娜,等.神经源性膀胱病人出院准备服务流程[J].中国临床神经外科杂志,2024,29(08):487-490.[doi:10.13798/j.issn.1009-153X.2024.08.010]
　XU Ling,ZHAN Yu-xin,XU Ni-na,et al.Discharge preparation service process for patients with neurogenic bladder[J].,2024,29(08):487-490.[doi:10.13798/j.issn.1009-153X.2024.08.010]
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神经源性膀胱病人出院准备服务流程()

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年08期
页码:
487-490
栏目:
护理技术
出版日期:
2024-08-30

文章信息/Info

Title:
Discharge preparation service process for patients with neurogenic bladder
文章编号:
1009-153X（2024）08-0487-04
作者:
徐玲; 詹昱新; 许妮娜; 万雅莉; 王佩
430022武汉，华中科技大学同济医学院附属协和医院神经外科（徐玲、詹昱新、万雅莉、王佩），神经内科（许妮娜）
Author(s):
XU Ling1;  ZHAN Yu-xin1;  XU Ni-na2;  WAN Ya-li;  WANG Pei1
1. Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China; 2. Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, W
关键词:
神经源性膀胱; 出院准备度; 服务流程
Keywords:
Neurogenic bladder;  Readiness for hospital discharge;  Service procedure
分类号:
R 744; R 473.6
DOI:
10.13798/j.issn.1009-153X.2024.08.010
文献标志码:
A
摘要:
目的 总结神经源性膀胱病人出院准备服务流程。方法 回顾性分析2021年3月至2021年12月收治的18例脊髓损伤或脊髓占位导致的神经源性膀胱病人的出院准备度服务流程，主要包括健康教育、出院计划及出院标准。结果 3例病人出院后恢复自主排尿；8例病人出院后行清洁间歇导尿，主要照顾者学会行清洁间歇导尿；7例病人出院后行清洁间歇导尿配合手法排尿。18例病人出院3个月随访均无泌尿系感染，无膀胱输尿管反流，无膀胱结石。18例病人自我管理量表评分22.2~25.4分，平均（22.6±0.56）分。结论 对于脊髓损伤或脊髓占位导致的神经源性膀胱病人，规范完善的出院准备服务流程有助于预防并发症，促进膀胱功能恢复，改善病人的生存质量。
Abstract:
Objective To summarize the discharge preparation service process for patients with neurogenic bladder. Methods A retrospective analysis was conducted on the discharge preparedness service process of 18 patients with neurogenic bladder caused by spinal cord injury or spinal cord space-occupying lesions from March 2021 to December 2021. The main contents included health education, discharge planning and discharge criteria. Results Three patients regained spontaneous urination after discharge; 8 patients underwent clean intermittent catheterization after discharge, and the main caregivers learned to perform clean intermittent catheterization; 7 patients underwent clean intermittent catheterization combined with manual urination after discharge. None of the 18 patients had urinary tract infection, vesicoureteral reflux or bladder stones at the 3-month follow-up after discharge. The score of the self-management scale for the 18 patients ranged from 22.2 to 25.4, with an average of (22.6±0.56) points. Conclusion For patients with neurogenic bladder caused by spinal cord injury or spinal cord space-occupying lesions, a standardized and improved discharge preparation service process is conducive to preventing complications, promoting bladder function recovery and improving the quality of life of patients.

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备注/Memo

备注/Memo:
（2023-07-10收稿，2024-03-14修回）
基金项目：湖北省自然科学基金（2022CFB261）；2024年湖北省财政厅科研项目（08.01.24014）
通信作者：詹昱新，Email：15377574880@163.com
更新日期/Last Update: 2024-08-30