Related factors of urinary incontinence among patients with surgery for lumbar disc herniation
10.3760/cma.j.issn.1674-2907.2019.11.020
- VernacularTitle:腰椎间盘突出症手术患者尿失禁症状相关因素分析
- Author:
Juan SHAN
1
;
Jing ZHANG
;
Haiyan GU
;
Lei PENG
;
Xiaowen QI
;
Cuihong ZHANG
;
Fanglei XU
Author Information
1. 首都医科大学附属北京天坛医院护理部
- Keywords:
Urinary incontinence;
Lumbar disc herniation;
Related factors
- From:
Chinese Journal of Modern Nursing
2019;25(11):1405-1408
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the related factors of urinary incontinence among patients with surgery for lumbar disc herniation (LDH). Methods? From 1st June 2017 to 31st May 2018, we selected 336 medical records of LDH patients with surgical therapy at a ClassⅢ Grade A hospital and a ClassⅡGrade A hospital in Shanghai by convenience sampling. Single factor analysis and multiple factors analysis were used to patients' basic data, diagnosis, segments of LDH, symptoms, complications, types of surgery, types of anesthesia, laboratory examination, patient-controlled analgesia and indwelling urinary catheters. Results? A total of 336 medical records of LDH patients were investigated with 29.5% for the incidence of urinary incontinence. Multiple factors analysis showed that the independent risk factors of patients with surgery for LDH included 9 factors involving the childbearing history, complications (diabetes, heart disease, cerebral infarction, lumbar spinal stenosis), symptoms (constipation and urinary tract infection), indwelling urinary catheters and indwelling days (P<0.05). Conclusions? The incidence of urinary incontinence of patients with surgery for LDH is high and is related to many factors. Medical staff should carry out screening in time and early intervention for high-risk patients according to related factors to reduce the incidence of urinary incontinence.