Objective To explore the effect of continuing care on the intermittent catheterization compliance of patients with neurogenic bladder.Methods From January to December, 2015, 60 patients with neurogenic bladder after spinal cord injury receiving intermittent catheterization were randomly assigned to control group (n=30) and intervention group (n=30). The control group received routine discharge instruction, while the intervention group received continuing care in addition. The intermittent catheterization compliance, residual urine volume, urinary tract infection and quality of life were assessed at discharge and three months after intervention.Results After intervention, the intermittent catheterization compliance was better in the intervention group than in the control group (χ2=7.500, P=0.006). The residual urine volume significantly decreased in both groups (t>12.040, P<0.001), and was less in the intervention group than in the control group (t=-2.190, P=0.032), as well as the urinary tract infection rate (χ2=10.800, P=0.001). The score of quality of life increased significantly after intervention in both groups (t>4.572, P<0.001), and was higher in the intervention group than in the control group (t>5.505, P<0.001).Conclusion Continuing care could improve the intermittent catheterization compliance, reduce the residual urine volume and the urinary tract infection rate, and improve the quality of life in patients with neurogenic bladder after discharge.
WANG Xue-qiong
,
ZHU Shi-qiong
,
AI Yan
,
FU Jing
,
LI Ya-mei
. Effects of Continuing Care on Intermittent Catheterization Compliance of Patients with Neurogenic Bladder [J]. Chinese Journal of Rehabilitation Theory and Practice, 2016
, 22(12)
: 1480
-1479
.
DOI: 10.3969/j.issn.1006-9771.2016.12.026
[1] Myers JB, Mayer EN, Lenherr S, et al. Management options for sphincteric deficiency in adults with neurogenic bladder [J]. Transl Androl Urol, 2016, 5(1): 145-157.
[2] Powell CR. Not all neurogenic bladders are the same: a proposal for a new neurogenic bladder classification system [J]. Transl Androl Urol, 2016, 5(1):12-21.
[3] Liao L. Evaluation and management of neurogenic bladder: what is new in China? [J]. Int J Mol Sci, 2015, 16(8): 18580-18600.
[4] Vigil HR, Hickling DR. Urinary tract infection in the neurogenic bladder [J]. Transl Androl Urol, 2016, 5(1): 72-87.
[5] 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)[J]. 中华护理杂志, 2011, 46(1): 104-108.
[6] Naylor MD, Aiken LH, Kurtzman ET, et al. The care span: The importance of transitional care in achieving health reform [J]. Health Aff (Millwood), 2011, 30(4): 746-754.
[7] Weerahandi H, Basso Lipani M, Kalman J, et al. Effects of a psychosocial transitional care model on hospitalizations and cost of care for high utilizers [J]. Soc Work Health Care, 2015, 54(6): 485-498.
[8] 杨红, 朱世琼, 李亚梅,等. 延续护理对脑卒中患者睡眠质量及神经功能康复的影响[J]. 中国康复理论与实践, 2015, 21(12): 1466-1470.
[9] Kirshblum SC, Burns SP, Biering-Sorensen F, et al. International Standards For Neurological Classification Of Spinal Cord Injury (revised 2011) [J]. J Spinal Cord Med, 2011, 34(6): 535-546.
[10] 葛均波,徐永健. 内科学[M]. 8 版. 北京:人民卫生出版社, 2013: 499.
[11] The WHOQOL Group. The World Health Organization quality of life assessment (WHOQOL): development and general psychometric properties [J]. Soc Sci Med, 1998, 46(12): 1569-1585.
[12] Skevington SM, Lotfy M, O'Connell KA, et al. The World Health Organization's WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group [J]. Qual Life Res, 2004, 13(2): 299-310.
[13] Zou B, Zhang Y, Li Y, et al. Survey of spinal cord injury-induced neurogenic bladder studies using the Web of Science [J]. Neural Regen Res, 2012, 7(23): 1832-1839.
[14] Taweel WA, Seyam R. Neurogenic bladder in spinal cord injury patients [J]. Res Rep Urol, 2015, 7: 85-99.
[15] Hagen EM, Rekand T. Management of bladder dysfunction and satisfaction of life after spinal cord injury in Norway [J]. J Spinal Cord Med, 2014, 37(3): 310-316.
[16] Seth JH, Haslam C, Panicker JN. Ensuring patient adherence to clean intermittent self-catheterization [J]. Patient Prefer Adherence, 2014, 8: 191-198.
[17] 李霞,刘一苇,张莉莉,等. 延续护理模式对神经源性膀胱早期行间歇导尿患者的影响[J]. 中华现代护理杂志, 2015, 21(28): 3427-3429.
[18] Hirschman KB, Bixby MB. Transitions in care from the hospital to home for patients with diabetes [J]. Diabetes Spectr, 2014, 27(3): 192-195.
[19] Yu DS, Lee DT, Stewart S, et al. Effect of nurse-implemented transitional care for Chinese individuals with chronic heart failure in Hong Kong: a randomized controlled trial [J]. J Am Geriatr Soc, 2015, 63(8): 1583-1593.
[20] Wee SL, Loke CK, Liang C, et al. Effectiveness of a national transitional care program in reducing acute care use [J]. J Am Geriatr Soc, 2014, 62(4): 747-753.
[21] 唐菊英,董丽丽,王叶红,等. 院外延续管理对多发性骨髓瘤患者骨痛治疗的作用[J]. 中国康复理论与实践, 2012, 18(7): 697-698.
[22] 金培勇,王凯,吴耀亮,等. 照顾者教育对改善脑卒中患者及其照顾者健康状况的效果[J]. 中国康复理论与实践, 2012, 18(7): 649-651.
[23] McKay JR. Continuing care research: what we've learned and where we're going [J]. J Subst Abuse Treat, 2009: 36(2): 131-145.
[24] Proctor SL, Herschman PL. The continuing care model of substance use treatment: what works, and when is "enough," "enough?" [J]. Psychiatry J, 2014, 2014(1): 692423.
[25] Jackson C, Kasper EW, Williams C, et al. Incremental benefit of a home visit following discharge for patients with multiple chronic conditions receiving transitional Care [J]. Popul Health Manag, 2016, 19(3): 163-170.
