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目的评价综合护理干预在中枢性大小便失禁与预防中价值。方法 2015年2月-2016年1月中枢性大小便失禁患者71例纳入对照组进行常规护理,护理内容包括失禁性皮炎(IAD)预防、尿路管理、饮食管理、康复护理。2016年2月-2017年2月,选取中枢性尿失禁患者71例纳入观察组。在常规护理基础上给予心理护理、落实监督员制度与报时通知。结果观察组留置尿管时间、住院1周内失禁性皮炎严重程度评估量表(IADS)均值、住院时间、IAD发生率分别为(6.7±1.4)d、(2.1±1.4)、(18.4±3.2)d、15.49%(11/71),低于对照组的(8.5±2.3)d、(4.3±2.5)、(20.8±3.5)d、33.80%(24/71),差异有统计学意义(P<0.05)。结论对于中枢性尿失禁患者,采取综合护理干预措施,可以明显降低留置尿管时间、住院1周内IADS均值、住院时间、IAD发生率,并降低并发症发生风险,有益于患者康复。
Objective To evaluate the value of comprehensive nursing intervention in central incontinence and prevention. Methods From February 2015 to January 2016, 71 patients with central incontinence were enrolled in the control group for routine nursing care, including the prevention of incontinence (IAD), urinary tract management, diet management and rehabilitation nursing. From February 2016 to February 2017, 71 patients with central incontinence were included in the observation group. On the basis of routine care to give psychological care, implement the supervisor system and notification of time. Results The duration of indwelling catheter in observation group, mean IADS, length of hospital stay and incidence of IAD were (6.7 ± 1.4) days, (2.1 ± 1.4) and (18.4 ± 3.2) days in hospital, respectively ) d, 15.49% (11/71), lower than the control group (8.5 ± 2.3) d, (4.3 ± 2.5), (20.8 ± 3.5) d and 33.80% (24/71) respectively. The difference was statistically significant P <0.05). Conclusions The comprehensive nursing intervention can reduce the time of indwelling catheter, the average IADS within one week of hospitalization, the length of hospital stay and the incidence of IAD in central urinary incontinence patients and reduce the risk of complications, which is beneficial to the rehabilitation of patients.