Application of individual bladder safe capacity in bladder function rehabilitation among patients with spinal injury
10.3760/cma.j.issn.1674-2907.2017.32.010
- VernacularTitle:个体化膀胱安全容量在脊髓损伤患者膀胱功能康复中的应用
- Author:
Xiaoqing HE
1
;
Yanlan MA
;
Jinshu TANG
;
Xiuxiu SHI
;
Yanli YUAN
;
Baolan JU
;
Tiesong ZHANG
;
Qiaoling CHEN
Author Information
1. 解放军总医院第一附属医院急救部
- Keywords:
Spinal injuries;
Nursing care;
Intermittent urethral catheterization;
Safety capacity
- From:
Chinese Journal of Modern Nursing
2017;23(32):4103-4106
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of intermittent catheterization conducted by bladder safe capacity on bladder function rehabilitation among patients with spinal injury.Methods A total of 60 patients with spinal injury and neurogenic bladder of Rehabilitation Department of Spine were selected as subjects by convenience sampling from January 2015 to January 2016. They were randomly divided into intervention group (intermittent catheterization conducted by the bladder capacity scanner) and control group (routinely regular intermittent catheterization). And then, this study compared the recovery of bladder function and the incidence of urinary tract infection of patients in two groups.Results At the fourth week, there were 9 patients with reflex bladder in intervention group more than that (4 patients) in control group with a significant difference (P<0.05). At discharge, there were 18 patients with reflex bladder in intervention group, while there were 14 patients in control group with a significant difference (P<0.05). After intervention, the residual urine volume of intervention group was significantly higher than that of control group (P<0.05). There was no statistically significant difference in bladder compliance between two groups (P>0.05). The difference on cases with urinary tract infection in control group (66 times) and intervention group (35 times) was significant (P<0.05). The times of reflex urination for the first time and bladder functional reconstruction in intervention group were lower than those in control group with significant differences (P<0.05).Conclusions Intermittent catheterization based on individual bladder safe capacity can effectively shorten the times of reflex urination for the first time and bladder functional reconstruction, reduce the residual urine and decrease the incidence of urinary infection.
