《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (11): 1360-1364.

• 国际会议报道 • 上一篇    

强化康复单元脑外伤患者膀胱功能流程管理的效果

周君桂 1，范建中 1，单守勤 2，周春兰 1，陈迎 1，邓水娟 1，李苑媚 1，孙嘉利 2
  

  1. 作者单位：1.南方医科大学南方医院康复科，广东广州市 510515；2.济南军区第一疗养院，山东青岛市 266071。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-11-25 发布日期:2015-11-25

Efficacy of Process Management on Bladder Function among Traumatic Brain Injury Patients Admitted to Intensive Rehabilitation and Care Unit

ZHOU Jun-gui1, FAN Jian-zhong1, SHAN Shou-qin2, ZHOU Chun-lan1, CHEN Ying1, DENG Shui-juan1, LI Yuan-mei1, SUN Jia-li2
  

  1. 1. Department of Rehabilitation, Nanfang Hospital of Southern Medical University, Guangzhou 510515, Guangdong, China; 2. Qingdao First Sanatorium of Jinan Military Region, Qingdao, Shandong 266071, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-11-25 Online:2015-11-25

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摘要： 目的 探讨强化康复单元(IRCU)脑外伤患者膀胱功能流程管理的模式及效果。方法 2011年2月~2012年12月收治的33例患者设为对照组，2013年1月~2014年12月收治的39例患者设为实验组。对照组给予留置尿管常规评估及护理，干预组给予膀胱功能流程管理，方法包括建立膀胱功能管理工作规范及流程、评估拔管指征、根据残余尿量进行膀胱护理、建立排尿日记等。结果 干预 21 d后，实验组达到自主排尿且残余尿量<100 ml的例数较对照组多，导尿管相关尿路感染发生率较对照组低(均P<0.05)。结论 对强化康复单元脑外伤患者进行膀胱功能流程管理，有利于患者膀胱功能的恢复，缩短康复时间，降低导尿管相关尿路感染发生率。

关键词: 脑外伤, 强化康复单元, 膀胱功能, 流程管理

Abstract: Objective To explore the efficacy of process management on bladder function among traumatic brain injury (TBI) patients admitted to intensive rehabilitation and care unit (IRCU). Methods 33 cases were collected to control group who were cared with routing nursing during February, 2011 to December, 2012. Other 39 cases were recruited to trial group cared with process management of bladder function during January, 2013 to December, 2014. Process management of bladder function contained the establishment of process management guide, evaluation of removing catheter, nursing of bladder based on residue of urine volume and keeping a diary of urination, etc. Results There were more cases with residue of urine volume less than 100 ml and less with catheter associated urinary tract infection in the trial group than in the control group (P<0.05). Conclusion Process management of bladder function can improve the recovery of bladder function of TBI patients, shorten rehabilitation time and decrease the risk of catheter associated urinary tract infection.

Key words: traumatic brain injury, intensive rehabilitation and care unit, bladder function, process management