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穴位按摩量化护理方案在脊髓损伤性癃闭护理中的应用

李玖利 潘佩婵 温杏良   

  1. 中山市中医院骨一科(李玖利,潘佩婵);护理部(温杏良)
  • 出版日期:2017-01-25 发布日期:2017-01-25
  • 基金资助:
    2014 年度中山市第一批科技计划项目(2014A1FC034)

The clinical application of quantitative nursing program of acupoint massage on retention of urine among spinal cord injury patients

  • Online:2017-01-25 Published:2017-01-25

摘要: 目的:评价穴位按摩量化护理方案在脊髓损伤性癃闭护理中的临床应用效果。方法:采用随机数字表法将98 例患者随机分为实验组50 例和对照组48 例,对照组给予间歇导尿+ 常规治疗,实验组在此基础上实施穴位按摩量化护理方案。结果:实验组患者治疗后1、2、3 个月的SF-36 评分分别为(61.12±14.16) 分、(87.93±15.05) 分、(110.34±16.19) 分,与对照组比较有统计学差异(P <0.05)。治疗后实验组患者恢复自主排尿时间(23.52±11.51) 天、残余尿量(80.96±57.72)mL、膀胱容量(420.62±60.15)mL,均优于对照组(P <0.05);实验组患者发生尿路感染30 例,明显低于对照组(P <0.05);实验组临床治疗总有效率高于对照组(P <0.01)。结论:穴位按摩量化护理方案的实施,为脊髓损伤性癃闭患者尽早恢复自主排尿功能,减少泌尿系统感染,提高生活质量开辟新思路和新途径。

Abstract: Objective: To evaluate clinical application of quantitative nursing program of acupoint massage on retention of urine among spinal cord injury patients. Method: Totally 98 patients were randomly divided into the treatment group (n=50) and control group (n=48) according to random number table. Both groups were treated with intermittent catheterization and conventional treatment, while the treatment group were added quantitative nursing program of acupoint massage. Result: The mean scores of SF-36 in the treatment group were (61.12±14.16), (87.93±15.05), (110.34±16.19) in 1month, 2 months and 3 months, respectively, and were significantly higher than those in the control group (P<0.05). The days of automatic urination (23.52±11.51) days, residual urine (80.96±57.72) mL and bladder volume (420.62±60.15) mL were better than those in the control group (P<0.05). There were 30 urinary tract infection cases in the treatment group which was significantly lower than that in the control group (P<0.05). The clinical effect in the treatment group was better than that in the control group (P<0.01). Conclusion: The quantitative nursing program of acupoint massage opened up a new idea and method for caring retention of urine among spinal cord injury patients to recover the function of automatic urination as early as possible, to reduce urinary system infection, and to improve patients' quality of life.