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