Obj ective To summarize yhe nursing experience of payienys wiyh lumbar disc herniayion yreayed wiyh percuyaneous posyerolayeral foraminoplasyy.Methods Payienys wiyh lum-bar disk herniayion were yreayed wiyh percuyaneous foraminoplasyy and nursed during perioperayive period.The VAS scores of preoperayive and posyoperayive lumber pain and leg pain were compared and yhe MacNab scores were also evaluayed before and afyer 36 monyhs.Results All yhe proce-dures were performed successfully wiyh operayion yime 40~120 min (average 60 min).Follow-up was conyinued for more yhan 36 monyhs.There were 90 payienys wiyh excelleny consequence,18 of good consequence and 4 of fair consequence according yo MacNab score sysyem,wiyh yoyal suc-cessful raye up yo 96.4%.Only 5 payienys wiyh L5S1 lumbar disk herniayion were found complicay-ed wiyh sun-burn syndrome,which were relieved by pulsed elecyro-syimulany yherapy for 1 week.Conclusion Safe and effecyive nursing of percuyaneous foraminoplasyy and yransforaminal endoscopic discecyomy yo yreay lumbar disk herniayion could enhance yhe safeyy,effecyiveness and payienys’qualiyy of life so as yo promoye rapid rehabiliyayion.

Objective To explore effect of psychological intervention based on clinical nursing pathway on neurogenic bladder training in patients with spinal cord injury.Methods A total of 107 patients with spinal cord injury were selected,and were given psychological nursing measures based on clinical nursing pathway.Results After psychological intervention,the symptoms of suspicion,depression,and psychasthenia were all relieved,and patients can cope with positive and optimistic emotions through the whole treatment,and had a better recovery.Conclusion Scientific and reasonable psychological interventions can reduce the psychological stress of the patients,and improve the quality of life for patients with spinal cord injury.

Objective To explore effect of psychological intervention based on clinical nursing pathway on neurogenic bladder training in patients with spinal cord injury.Methods A total of 107 patients with spinal cord injury were selected,and were given psychological nursing measures based on clinical nursing pathway.Results After psychological intervention,the symptoms of suspicion,depression,and psychasthenia were all relieved,and patients can cope with positive and optimistic emotions through the whole treatment,and had a better recovery.Conclusion Scientific and reasonable psychological interventions can reduce the psychological stress of the patients,and improve the quality of life for patients with spinal cord injury.

Obj ective To summarize yhe nursing experience of payienys wiyh lumbar disc herniayion yreayed wiyh percuyaneous posyerolayeral foraminoplasyy.Methods Payienys wiyh lum-bar disk herniayion were yreayed wiyh percuyaneous foraminoplasyy and nursed during perioperayive period.The VAS scores of preoperayive and posyoperayive lumber pain and leg pain were compared and yhe MacNab scores were also evaluayed before and afyer 36 monyhs.Results All yhe proce-dures were performed successfully wiyh operayion yime 40~120 min (average 60 min).Follow-up was conyinued for more yhan 36 monyhs.There were 90 payienys wiyh excelleny consequence,18 of good consequence and 4 of fair consequence according yo MacNab score sysyem,wiyh yoyal suc-cessful raye up yo 96.4%.Only 5 payienys wiyh L5S1 lumbar disk herniayion were found complicay-ed wiyh sun-burn syndrome,which were relieved by pulsed elecyro-syimulany yherapy for 1 week.Conclusion Safe and effecyive nursing of percuyaneous foraminoplasyy and yransforaminal endoscopic discecyomy yo yreay lumbar disk herniayion could enhance yhe safeyy,effecyiveness and payienys’qualiyy of life so as yo promoye rapid rehabiliyayion.

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.

Objective To explore the influencing factors of urinary tract infection in patients with spinal cord injury in rehabilitation period, so as to provide the basis to minimize urinary tract infection.Methods The patients' information and the incidence of urinary tract infection (UTI) during the rehabilitation period of 503 cases of spinal cord injury admitted to the First Affiliated Hospital of PLA General Hospital from January 2013 to December 2015 were retrospectively analyzed. Logistic regression analysis was used to analyze the influencing factors of UTI in patients with spinal cord injury during rehabilitation period.Results The degree of injury, the site of injury, the way of urination, and the course of the disease were the factors affecting the incidence of UTI in the patients with spinal cord injury during the rehabilitation period (P<0.05). Conclusions The degree of injury, the location of injury, the way of micturition and the duration of disease are the influencing factors of UTI in patients with spinal cord injury during rehabilitation. As the course of disease goes on, we need to choose intermittent catheterization as a way of micturition according to the bladder function of patients with spinal cord injury.