Application of the urinary bladder pressure measurement evaluation system in the nursing of diabetic neurogenic bladder
10.3760/j.issn.1674-2907.2014.28.037
- VernacularTitle:膀胱尿压测定评定系统在糖尿病神经源性膀胱护理中的应用
- Author:
Guirong WANG
1
;
Wei WU
;
Fengxiang YANG
;
Xiaoqing ZHAO
Author Information
1. 442000 十堰，湖北医药学院附属太和医院康复科
- Keywords:
Nursing care;
Urinary bladder pressure measurement evaluation system;
Diabetic neurogenic bladder
- From:
Chinese Journal of Modern Nursing
2014;20(28):3641-3643
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the application effect of the urinary bladder pressure measurement evaluation system in the nursing of diabetic neurogenic bladder .Methods Fifty patients with diabetic neurogenic bladder two days after hospitalization from March 2011 to August 2013 were chosen .The change of bladder pressure and volume , the bladder safe capacity and maximum capacity , the starting activity state of detrusor, the state of sphincter, and the coordination ability of detrusor/sphincter were measured by the urinary bladder pressure meter .The nursing plan were made and carried out according to the results of measures .The residual urine volumes of bladder and the urination function changes were compared before and after the intervention .Results The cases of urinary incontinence ( high compliance small capacity bladder ) and the urinary retention ( high compliance large capacity bladder ) were respectively 9 and 40 cases.The cases of residual urine volumes of bladder more than 200 ml were decreased from 20 cases to 5 cases after the training of bladder , and the cases of patients with moderate and severe disorder of urination function were decreased from 22 cases to 7 cases after the training, and the differences were found before and after the training (U=4.73, 5.51, respectively;P<0.01).The case of low compliance small capacity bladder was one case , and was needed to the treatment of surgery .Conclusions Application of the urinary bladder pressure measurement evaluation system in the nursing of diabetic neurogenic bladder is safe and feasible , and can reduce the residual urine volumes of bladder , and improve the urination function .
