Perioperative care of patients with hyperreflexia of neurogenic detrusor by injection of botulinum toxin A
10.7619/jcmp.201812029
- VernacularTitle:肉毒素A注射治疗神经源性逼尿肌过度反射患者的围术期护理
- Author:
Qin FENG
1
;
Ling LIU
;
Yan ZHOU
;
Lan DENG
;
Dongping FAN
;
Xianqiong FENG
Author Information
1. 四川大学华西医院泌尿外科
- Keywords:
botulinum toxin A;
hyperreflexia of neurogenic detrusor;
Huaxi Emotional Distress Index questionnaire;
avoidance behavior;
restrictive behavior;
quality of life
- From:
Journal of Clinical Medicine in Practice
2018;22(12):98-101
- CountryChina
- Language:Chinese
-
Abstract:
Objective To Summarize perioperative nursing for 20 patients with the hyperreflexia of neurogenic detrusor by injection of botulinum toxin A.Methods Mental states of patients were assessed by Huaxi Emotional Distress Index questionnaire and psychological support was given to these patients,patients were assisted and instructed to record the urine diary correctly,cautions for the use of botulinum toxin A was interpreted,drinking water and activities were guided,and adverse reactions,follow-up results at 6,12 weeks were observed.Life quality by Incontinence Quality of Life Questionnaire was observed,the times of urinary incontinence,maximum pressure volume of bladder,maximum pressure of detrusor and the effect of urinary incontinence were compared.Results The absolute value of evasion and restrictive behavior,psychological effects,social fear disorders were (38.5 ± 19.6),(38.8 ±22.5),(28.1 ±20.3),respectively,on admission,and (41.2 ±27.1),(43.7 ± 26.5),(33.5 ± 28.8),respectively,at 6 weeks after nursing,and were (40.9 ± 27.7),(39.6 ± 24.3),(36.3 ± 28.7),respectively,at 12 weeks after nursing.The evasion and restrictive behavior,social fear disorderswere improved at 6,12 weeks after nursing as compared to nursing before.Conclusion Perioperative care for patients with the hyperreflexia of neurogenic detrusor by injection ofbotulinum toxin A can not only improve therapeuticeffect,improve social status,but also improve patients'self-management ability and quality of life.
