Effect of the whole-course manangement of intermittent catheterization in neurogenic bladder patients_West China Medical Journal

Authors：

YE Zhiyu ^1,2 , ZHU Liang ^1,2 , LI Simin ^1,2 ,  DU Chunping ^1,2

1. Department of Rehabilitation Medicine, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Key Laboratory of Rehabilitation Medicine in Sichuan Province, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

DU Chunping, Email: ducp118@163.com

Keywords：

Intermittent catheterization; Whole-course management mode; Standardized management; Neurogenic bladder

DOI：

10.7507/1002-0179.202001036

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Objective To discuss the effect of the whole-course management model of intermittent catheterization (IC) in patients with neurogenic bladder (NB).Methods Patients with NB caused by incomplete spinal cord injury admitted to Department of Rehabilitation Medicine of West China Hospital of Sichuan University between May and October 2019 were selected. According to the random number table, the patients were randomly divided into the trial group and the control group. The control group adopted the traditional management mode of IC, and the trial group adopted the whole-course management mode of IC. The urination diary (single catheterization volume, residual urine volume, and times of urine leakage), bacteria count and leukocyte count in urine routine were compared between the two groups.Results Finally 80 patients were included, with 40 cases in each group. There was no significant difference in urination diary, bacteria count or leukocyte count in urine routine between the two groups (P>0.05). There was no significant difference between the two groups in urination diary in the second week of management (P>0.05). At the 12th week of management, there were statistically significant differences in urination diary between the two groups (P<0.05). The bacteria count and leukocyte count in the second and 12th week of the management in the trial group were lower than those in the control group (P<0.05).Conclusions The whole-course management of IC for patients with NB caused by incomplete spinal cord injury can effectively improve bladder volume, and reduce residual urine volume and times of urine leakage. It also can reduce the incidence of urinary tract infection, reduce urinary complications, and ultimately improve the quality of life of patients.

Citation： YE Zhiyu, ZHU Liang, LI Simin, DU Chunping. Effect of the whole-course manangement of intermittent catheterization in neurogenic bladder patients. West China Medical Journal, 2021, 36(5): 651-655. doi: 10.7507/1002-0179.202001036 Copy

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2.	吳紅琴, 張蘭香, 王速敏. 自我清潔間歇導尿在脊髓損傷神經源性膀胱患者中的應用. 護理學雜志, 2014, 29(16): 77-79.
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4.	楊杰, 張建梅, 蔣紅英, 等. 延續性護理在清潔間歇導尿患者中的應用及效果評價. 華西醫學, 2016, 31(11): 1878-1881.
5.	楊芳潔, 凌瑞, 郭絲錦. 西京醫院乳腺癌全身麻醉日間手術全程管理規范. 華西醫學, 2020, 35(2): 202-206.
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7.	Linsenmeyer TA. Catheter-associated urinary trdct infections in persons with neurogenic bladders. Spinal Cord Med, 2018, 41(2): 132-141.
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9.	陳巧玲, 林潤, 趙惠玲, 等. 德爾菲法在ICU身體約束量表研制中的應用. 齊魯護理雜志, 2016, 22(23): 85-87.
10.	蘇曼珊, 劉靜. 延續護理對控制神經源性膀胱病人尿路感染及提高生活質量的效果觀察. 全科護理, 2018, 16(18): 2238-2239.
11.	張慧穎, 邵秀芹, 全爽, 等. 尿控管理對脊髓損傷患者神經源性膀胱癥狀及病恥感的影響. 護理學雜志, 2020, 35(2): 22-25.
12.	Powell CR. Not all neurogenic bladders are the same: a proposal for anew neurogenic bladder classification system. Transl Androl Urol, 2016, 5(1): 12-21.
13.	胡英杰, 陳曉敏, 范春花, 等. 神經源性膀胱上尿路損害風險管理方案的構建. 護理學雜志, 2020, 35(2): 18-21.
14.	Werndle MC, Saadoun S, Phang I, et al. Monitoring of spinal cord perfusion pressure in acute spinal cord injury: initial findings of the injured spinal cord pressure evaluation study. Crit Care Med, 2014, 42(3): 646-655.
15.	趙慧, 楊杰, 李娜, 等. 綜合延續護理方案在脊髓損傷患者清潔間歇導尿延續護理中的應用. 四川醫學, 2019, 40(11): 1179-1182.
16.	陳曉丹, 李小金, 黃少華, 等. 無尿管病房護理工作模式的建立及應用. 中國實用護理雜志, 2018, 34(35): 2737-2741.
17.	孟玲, 錢進, 李巧玲, 等. 清潔自我間歇性導尿教導模式臨床運用的效果分析. 中國康復醫學雜志, 2016, 31(5): 568-570.
18.	林曼舒. 實物模具健康教育聯合排尿日志在脊髓損傷患者自我間歇導尿中的應用. 護理實踐與研究, 2019, 16(7): 78-80.
19.	陶冶, 汪澄, 龐海云, 等. 系列教育對神經源性膀胱患者實施清潔間歇導尿術的效果觀察. 國際護理學雜志, 2018, 37(22): 3106-3109.
20.	趙蕊, 馬燕蘭. 脊髓損傷神經源性膀胱患者清潔間歇導尿研究進展. 護理管理雜志, 2017, 17(5): 356-358.
21.	廖明珍, 蘭柳華, 黃珺. 降低神經源性膀胱患者/家屬清潔間歇性導尿不規范率的品管圈實踐. 護理學報, 2014, 21(20): 22-24.
22.	中國康復醫學會康復護理專業委員會. 神經源性膀胱護理指南(2011年版)(二). 中華護理雜志, 2011, 46(2): 210-216.

1. Adriaansen JJ, van Asbeck FW, Tepper M, et al. Bladder-emptying methods, neurogenic lower urinary tract dysfunction and impact on quality of life in people with long-term spinal cord injury. J Spinal Cord Med, 2017, 40(1): 43-53.
2. 吳紅琴, 張蘭香, 王速敏. 自我清潔間歇導尿在脊髓損傷神經源性膀胱患者中的應用. 護理學雜志, 2014, 29(16): 77-79.
3. 何曉慶, 馬燕蘭, 張鐵松, 等. 脊髓損傷神經源性膀胱住院患者間歇導尿應用情況調查. 解放軍醫學院學報, 2016, 37(6): 547-551.
4. 楊杰, 張建梅, 蔣紅英, 等. 延續性護理在清潔間歇導尿患者中的應用及效果評價. 華西醫學, 2016, 31(11): 1878-1881.
5. 楊芳潔, 凌瑞, 郭絲錦. 西京醫院乳腺癌全身麻醉日間手術全程管理規范. 華西醫學, 2020, 35(2): 202-206.
6. 張建梅, 蔣春燕, 李娜, 等. 改良膀胱沖洗技術預防清潔間歇導尿患者尿路感染的臨床效果. 中國康復理論與實踐, 2015, 21(8): 986-989.
7. Linsenmeyer TA. Catheter-associated urinary trdct infections in persons with neurogenic bladders. Spinal Cord Med, 2018, 41(2): 132-141.
8. 中國康復醫學會康復護理專業委員會. 神經源性膀胱護理實踐指南(2017年版). 護理學雜志, 2017, 32(24): 1-7.
9. 陳巧玲, 林潤, 趙惠玲, 等. 德爾菲法在ICU身體約束量表研制中的應用. 齊魯護理雜志, 2016, 22(23): 85-87.
10. 蘇曼珊, 劉靜. 延續護理對控制神經源性膀胱病人尿路感染及提高生活質量的效果觀察. 全科護理, 2018, 16(18): 2238-2239.
11. 張慧穎, 邵秀芹, 全爽, 等. 尿控管理對脊髓損傷患者神經源性膀胱癥狀及病恥感的影響. 護理學雜志, 2020, 35(2): 22-25.
12. Powell CR. Not all neurogenic bladders are the same: a proposal for anew neurogenic bladder classification system. Transl Androl Urol, 2016, 5(1): 12-21.
13. 胡英杰, 陳曉敏, 范春花, 等. 神經源性膀胱上尿路損害風險管理方案的構建. 護理學雜志, 2020, 35(2): 18-21.
14. Werndle MC, Saadoun S, Phang I, et al. Monitoring of spinal cord perfusion pressure in acute spinal cord injury: initial findings of the injured spinal cord pressure evaluation study. Crit Care Med, 2014, 42(3): 646-655.
15. 趙慧, 楊杰, 李娜, 等. 綜合延續護理方案在脊髓損傷患者清潔間歇導尿延續護理中的應用. 四川醫學, 2019, 40(11): 1179-1182.
16. 陳曉丹, 李小金, 黃少華, 等. 無尿管病房護理工作模式的建立及應用. 中國實用護理雜志, 2018, 34(35): 2737-2741.
17. 孟玲, 錢進, 李巧玲, 等. 清潔自我間歇性導尿教導模式臨床運用的效果分析. 中國康復醫學雜志, 2016, 31(5): 568-570.
18. 林曼舒. 實物模具健康教育聯合排尿日志在脊髓損傷患者自我間歇導尿中的應用. 護理實踐與研究, 2019, 16(7): 78-80.
19. 陶冶, 汪澄, 龐海云, 等. 系列教育對神經源性膀胱患者實施清潔間歇導尿術的效果觀察. 國際護理學雜志, 2018, 37(22): 3106-3109.
20. 趙蕊, 馬燕蘭. 脊髓損傷神經源性膀胱患者清潔間歇導尿研究進展. 護理管理雜志, 2017, 17(5): 356-358.
21. 廖明珍, 蘭柳華, 黃珺. 降低神經源性膀胱患者/家屬清潔間歇性導尿不規范率的品管圈實踐. 護理學報, 2014, 21(20): 22-24.
22. 中國康復醫學會康復護理專業委員會. 神經源性膀胱護理指南(2011年版)(二). 中華護理雜志, 2011, 46(2): 210-216.

West China Medical Journal

Effect of the whole-course manangement of intermittent catheterization in neurogenic bladder patients

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