基于时机理论的延续护理在脊髓损伤后神经源性膀胱患者中的应用研究

doi:10.3969/j.issn.1006-9143.2023.05.006

天津护理 ›› 2023, Vol. 31 ›› Issue (5): 529-534.DOI: 10.3969/j.issn.1006-9143.2023.05.006

基于时机理论的延续护理在脊髓损伤后神经源性膀胱患者中的应用研究

LIN Qianqian¹ ，LU Guolian¹ , LIU Chengmei ²

（1.许昌职业技术学院，河南许昌 461000；2.河南中医药大学第一附属医院）

出版日期:2023-10-28 发布日期:2023-10-26
基金资助:
河南省中医药科学研究专项课题（2019ZY1012）

Effects of continuous nursing based on the theory of “Timing It Right” in patients with neurogenic bladder after spinal cord injury

林倩倩 ¹卢国连 ¹ 刘承梅²

(1.Xuchang Vocational Technical College, Xuchang Henan 461000; 2.The First Affiliated Hospital of Henan University of Traditional Chinese Medicine)

Online:2023-10-28 Published:2023-10-26

摘要/Abstract

摘要： 目的：探讨以时机理论为框架的延续护理干预对脊髓损伤后神经源性膀胱患者的自我护理能力、膀胱功能及生活质量的影响。方法：随机选取 2019 年 6 月至 2021 年 5 月收治的脊髓损伤后神经源性膀胱患者 84 例为研究对象。对照组 42 例接受常规延续护理干预，观察组 42 例接受基于时机理论的延续护理干预。两组均于干预前、出院后 3 个月、6 个月给予自我护理能力、残余尿量及生活质量等结局指标的测定。结果：重复测量方差分析显示，患者自我护理能力总分及各维度得分、残余尿量、生活质量总分及各领域得分时间与组间均存在交互效应（P＜0.05）。出院 3 个月、6 个月时，两组患者自我护理能力总分及各维度得分、残余尿量、生活质量总分及生理领域、心理领域、社会领域评分比较，差异具有统计学意义（P<0.05）。而两组患者生活质量环境领域得分比较，差异无统计学意义（P＞0.05）。结论：基于时机理论的延续护理干预可有效提高脊髓损伤后神经源性膀胱患者的自我护理能力及生活质量，降低残余尿量。

关键词: 时机理论, 延续护理, 脊髓损伤, 神经源性膀胱

Abstract: Objective: To explore the effect of continuous nursing intervention based on the theory of “ Timing It Right” on the self-care ability, bladder function and quality of life of patients with neurogenic bladder after spinal cord injury. Methods: A total of 84 patients with neurogenic bladder after spinal cord injury from June 2019 to May 2021 were randomly included and were divided into the control group and the observation group with 42 patients in each group. The control group received routine continuous nursing intervention, while the observation group received continuous nursing intervention based on the theory of “Timing It Right”. The self-care ability, residual urine volume, quality of life and other outcome in鄄 dicators before intervention, 3 months and 6 months after discharge were investigated in both groups. Results: Repeated measurement analysis of variance showed that there were interactive effects between the total score of self care ability and each dimension of score, residual urine volume, total score of quality of life and each dimension of score over time and between groups(P<0.05). At the time of discharge for 3 and 6 months, there was a statistically significant difference between the two groups in the total scores of self care ability and various dimensions, the total scores of residual urine volume, quality of life, and the scores in the physiological, psychological, and social fields(P<0.05). However, there was no statistically significant difference between the two groups in terms of scores in the quality of life and environmental fields(P>0.05). Conclusion: Continuous nursing intervention based on the theory of “Timing It Right” can effectively improve the selfcare ability, residual urine output and quality of life in patients with neurogenic bladder after spinal cord injury.

Key words: Timing It Right, Continuous nursing, Spinal cord injury, Neurogenic bladder

林倩倩卢国连刘承梅 . 基于时机理论的延续护理在脊髓损伤后神经源性膀胱患者中的应用研究[J]. 天津护理, 2023, 31(5): 529-534.

LIN Qianqian, LU Guolian , LIU Chengmei . Effects of continuous nursing based on the theory of “Timing It Right” in patients with neurogenic bladder after spinal cord injury[J]. Tianjin Journal of Nursing, 2023, 31(5): 529-534.

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基于时机理论的延续护理在脊髓损伤后神经源性膀胱患者中的应用研究

Effects of continuous nursing based on the theory of “Timing It Right” in patients with neurogenic bladder after spinal cord injury

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