Effect of Volume Management Combined with Intermittent Catheterization on SCI Patients with Spinal Cord Injury Combined with Neurogenic Bladder

Abstract

Abstract: Objective To investigate the effect of volume management combined with intermittent catheterization on patients with spinal cord injury (SCI) complicated with Neurogenic Bladder (NB). Methods A total of 80 patients with SCI combined with NB admitted to Beijing Rehabilitation Hospital Affiliated to Capital Medical University from December 2020 to June 2023 were included as research objects, and were divided into control group and observation group by random number table method,with 40 cases in each group.The control group was given conventional nursing intervention for SCI patients combined with NB,and the observation group was given volume management combined with intermittent catheterization nursing intervention for 8 weeks.The safe bladder volume, residual urine volume,incidence of urinary tract infection,autonomic urination function grade and the generic quality of life inventoy-74 (GQOLI-74) were analyzed before and after intervention in the two groups to observe the effect of intervention. Results Before intervention,there were no significant differences in bladder safety volume,bladder residual urine volume,autonomic urination function grade and GQOLI-74 score between the two groups (allP>0.05).After intervention,the safe bladder volume,autonomic urination function grade and GQOLI-74 scores of both groups were improved,and the observation group was better than the control group.After intervention,the residual urinary volume of bladder in both groups was decreased compared with that before intervention,and the observation group was lower than the control group,the differences were significant(P<0.05).In addition,the incidence of urinary tract infection in the observation group was significantly lower than that in the control group during the intervention(P<0.05). Conclusion Volume management combined with intermittent catheterization can not only effectively improve the bladder function and autonomic urination function in patients with SCI and NB, but also help to improve the quality of life of patients and reduce the incidence of urinary tract infection, which is worth promoting.

Key words: volume management, intermittent catheterization, spinal cord injury, neurogenic bladder

CLC Number:

R651.2

BAI Jin-feng, LI Guo-qing, QIAN Hui, ZHOU Jin-na, WANG Wen-wen, SHEN Hong-mei. Effect of Volume Management Combined with Intermittent Catheterization on SCI Patients with Spinal Cord Injury Combined with Neurogenic Bladder[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(12): 59-62.

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