Nursing experience of patients with neurogenic bladder caused by spinal cord injury
脊髓损伤导致的神经源性膀胱病人的护理体会

摘要

目的 脊髓损伤导致的神经源性膀胱病人的护理体会。方法 本次调研时间于2021年度的1月至12月进行，本次所纳入的病人共计80例。参与本次调研病人均为脊髓损伤导致的神经源性膀胱病人，参与本次调研病人均接受对症治疗与护理，按照护理方案将病人分为2组，每个小组所纳入的病人分别为40例。按照护理方案进行命名，分别为常规组与研究组。常规组所采用的护理方案为常规护理，研究组则选用针对性护理。总结与探究2种护理方案护理结果。结果 （1）护理前常规组、研究组细菌计数对照并无明显差异，（P>0.05）。护理后常规组细菌计数改善，与护理前相比降低，P值<0.01，说明此对比存在统计学意义；护理后研究组细菌计数改善，与护理前相比降低，P值<0.01，说明此对比存在统计学意义。经过护理常规组、研究组细菌计数改善，但常规组细菌计数仍高于研究组，P值<0.01，说明此对比存在统计学意义。（2）常规组并发症发生率与研究组相比较高，P值<0.01，说明此对比存在统计学意义。（3）常规组护理满意评分结果与研究组相比得分较低，P<0.01，说明此结果存在统计学意义。结论 脊髓损伤导致的神经源性膀胱病人护理中，针对性护理干预应作为首选方案，此方案在降低病人残余尿量的同时提高护理满意度，此方案值得广泛应用。

Abstract

Objective Nursing experience of patients with neurogenic bladder caused by spinal cord injury.
Methods This survey was conducted from January to December in 2021. A total of 80 patients were included in this study. The patients participating in this investigation are all neurogenic bladder patients caused by spinal cord injury. All the patients participating in this investigation receive symptomatic treatment and nursing. The patients are divided into 2 groups according to the nursing plan, and each group includes 40 patients. . Named according to the nursing plan, they are the routine group and the research group. The nursing program adopted in the routine group was routine nursing, while the research group adopted targeted nursing. Summarize and explore the nursing results of two nursing programs.
Results (1) Before nursing, there was no significant difference in bacterial count between the routine group and the study group (P>0.05). After nursing, the bacterial count in the routine group was improved, and compared with that before nursing, with a P value < 0.01, indicating that the comparison was statistically significant; The comparison is statistically significant. The bacterial counts of the routine nursing group and the research group improved, but the bacterial counts in the routine group were still higher than those in the research group, with a P value of <0.01, indicating that the comparison was statistically significant. (2) The incidence of complications in the routine group was higher than that in the study group, with a P value of <0.01, indicating that the comparison was statistically significant. (3) Compared with the research group, the nursing satisfaction score of the routine group was lower, P<0.01, indicating that the result was statistically significant.
Conclusion   In the nursing of patients with neurogenic bladder caused by spinal cord injury, targeted nursing intervention should be the first choice. This scheme can reduce the residual urine volume of patients and improve nursing satisfaction. This scheme is worthy of wide application.