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.	吴红琴, 张兰香, 王速敏. 自我清洁间歇导尿在脊髓损伤神经源性膀胱患者中的应用. 护理学杂志, 2014, 29(16): 77-79.
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4.	杨杰, 张建梅, 蒋红英, 等. 延续性护理在清洁间歇导尿患者中的应用及效果评价. 华西医学, 2016, 31(11): 1878-1881.
5.	杨芳洁, 凌瑞, 郭丝锦. 西京医院乳腺癌全身麻醉日间手术全程管理规范. 华西医学, 2020, 35(2): 202-206.
6.	张建梅, 蒋春燕, 李娜, 等. 改良膀胱冲洗技术预防清洁间歇导尿患者尿路感染的临床效果. 中国康复理论与实践, 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.	中国康复医学会康复护理专业委员会. 神经源性膀胱护理实践指南(2017年版). 护理学杂志, 2017, 32(24): 1-7.
9.	陈巧玲, 林润, 赵惠玲, 等. 德尔菲法在ICU身体约束量表研制中的应用. 齐鲁护理杂志, 2016, 22(23): 85-87.
10.	苏曼珊, 刘静. 延续护理对控制神经源性膀胱病人尿路感染及提高生活质量的效果观察. 全科护理, 2018, 16(18): 2238-2239.
11.	张慧颖, 邵秀芹, 全爽, 等. 尿控管理对脊髓损伤患者神经源性膀胱症状及病耻感的影响. 护理学杂志, 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, 陈晓敏, 范春花, 等. 神经源性膀胱上尿路损害风险管理方案的构建. 护理学杂志, 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.	赵慧, 杨杰, 李娜, 等. 综合延续护理方案在脊髓损伤患者清洁间歇导尿延续护理中的应用. 四川医学, 2019, 40(11): 1179-1182.
16.	陈晓丹, 李小金, 黄少华, 等. 无尿管病房护理工作模式的建立及应用. 中国实用护理杂志, 2018, 34(35): 2737-2741.
17.	孟玲, 钱进, 李巧玲, 等. 清洁自我间歇性导尿教导模式临床运用的效果分析. 中国康复医学杂志, 2016, 31(5): 568-570.
18.	林曼舒. 实物模具健康教育联合排尿日志在脊髓损伤患者自我间歇导尿中的应用. 护理实践与研究, 2019, 16(7): 78-80.
19.	陶冶, 汪澄, 庞海云, 等. 系列教育对神经源性膀胱患者实施清洁间歇导尿术的效果观察. 国际护理学杂志, 2018, 37(22): 3106-3109.
20.	赵蕊, 马燕兰. 脊髓损伤神经源性膀胱患者清洁间歇导尿研究进展. 护理管理杂志, 2017, 17(5): 356-358.
21.	廖明珍, 兰柳华, 黄珺. 降低神经源性膀胱患者/家属清洁间歇性导尿不规范率的品管圈实践. 护理学报, 2014, 21(20): 22-24.
22.	中国康复医学会康复护理专业委员会. 神经源性膀胱护理指南(2011年版)(二). 中华护理杂志, 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. 吴红琴, 张兰香, 王速敏. 自我清洁间歇导尿在脊髓损伤神经源性膀胱患者中的应用. 护理学杂志, 2014, 29(16): 77-79.
3. 何晓庆, 马燕兰, 张铁松, 等. 脊髓损伤神经源性膀胱住院患者间歇导尿应用情况调查. 解放军医学院学报, 2016, 37(6): 547-551.
4. 杨杰, 张建梅, 蒋红英, 等. 延续性护理在清洁间歇导尿患者中的应用及效果评价. 华西医学, 2016, 31(11): 1878-1881.
5. 杨芳洁, 凌瑞, 郭丝锦. 西京医院乳腺癌全身麻醉日间手术全程管理规范. 华西医学, 2020, 35(2): 202-206.
6. 张建梅, 蒋春燕, 李娜, 等. 改良膀胱冲洗技术预防清洁间歇导尿患者尿路感染的临床效果. 中国康复理论与实践, 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. 中国康复医学会康复护理专业委员会. 神经源性膀胱护理实践指南(2017年版). 护理学杂志, 2017, 32(24): 1-7.
9. 陈巧玲, 林润, 赵惠玲, 等. 德尔菲法在ICU身体约束量表研制中的应用. 齐鲁护理杂志, 2016, 22(23): 85-87.
10. 苏曼珊, 刘静. 延续护理对控制神经源性膀胱病人尿路感染及提高生活质量的效果观察. 全科护理, 2018, 16(18): 2238-2239.
11. 张慧颖, 邵秀芹, 全爽, 等. 尿控管理对脊髓损伤患者神经源性膀胱症状及病耻感的影响. 护理学杂志, 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, 陈晓敏, 范春花, 等. 神经源性膀胱上尿路损害风险管理方案的构建. 护理学杂志, 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. 赵慧, 杨杰, 李娜, 等. 综合延续护理方案在脊髓损伤患者清洁间歇导尿延续护理中的应用. 四川医学, 2019, 40(11): 1179-1182.
16. 陈晓丹, 李小金, 黄少华, 等. 无尿管病房护理工作模式的建立及应用. 中国实用护理杂志, 2018, 34(35): 2737-2741.
17. 孟玲, 钱进, 李巧玲, 等. 清洁自我间歇性导尿教导模式临床运用的效果分析. 中国康复医学杂志, 2016, 31(5): 568-570.
18. 林曼舒. 实物模具健康教育联合排尿日志在脊髓损伤患者自我间歇导尿中的应用. 护理实践与研究, 2019, 16(7): 78-80.
19. 陶冶, 汪澄, 庞海云, 等. 系列教育对神经源性膀胱患者实施清洁间歇导尿术的效果观察. 国际护理学杂志, 2018, 37(22): 3106-3109.
20. 赵蕊, 马燕兰. 脊髓损伤神经源性膀胱患者清洁间歇导尿研究进展. 护理管理杂志, 2017, 17(5): 356-358.
21. 廖明珍, 兰柳华, 黄珺. 降低神经源性膀胱患者/家属清洁间歇性导尿不规范率的品管圈实践. 护理学报, 2014, 21(20): 22-24.
22. 中国康复医学会康复护理专业委员会. 神经源性膀胱护理指南(2011年版)(二). 中华护理杂志, 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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