Effect of bladder volume scanner and integrated physician-nurse-patient management mode on the recovery of neurogenic bladder function
YAN Yin XU Zhen2▲ TONG Hua-zhang3 GUAN Xi-hong4
1.Department of Rehabilitation Medicine,the First Affiliated Hospital of Nanchang University
2.Department of Infectious Diseases,the First Affiliated Hospital of Nanchang University
3.Department of Oncology,Jiangxi Provincial People′s Hospital
4.Remote Consultation Center,Jiangxi Provincial People′s Hospital
Abstract：Objective To explore the effect of bladder volume scanner combined with integrated physician-nurse-patient management mode on the recovery of bladder function in patients with spinal cord injury.Methods From June 2017 to June 2019,120 patients with spinal cord injury accompanied by neurogenic bladder damage who were admitted to the First Affiliated Hospital of Nanchang University were selected and divided into the experimental group one,the experimental group two,the experimental group three and the control group by random number table method,30 cases in each group.Routine treatments such as drinking water plan,intermittent catheterization and bladder function retraining were performed in all groups.In the control group,routine treatment was used;in the experimental group one,a bladder volume scanner was added;in the experimental group two,integrated physician-nurse-patient management mode was added;in the experimental group three,a bladder volume scanner combined with an integrated physiciannurse-patient management mode was adopted.The intervention lasted three months.Before and after intervention,the residual urine volume of the bladder,the results of urinary system examination,and the recovery time of bladder function were observed and compared in the four groups.The treatment effect of the four groups were also analyzed and compared.Results After intervention,the residual urine volume of patients in the three experimental groups was less than that in the control group,and the difference was statistically significant (P＜0.05).Only one patient in the experimental group three had urinary tract infection,and the rate of urinary tract infection was lower than that of the control group (χ2=7.680,P=0.006).Both 4 cases presented with urinary tract infection in the experimental group one and experimental group two.Compared with the control group,the difference was not statistically significant (P＞0.05).The first reflex urination in the experimental group three was shortest,compared with other groups,and the difference was statistically significant (P＜0.05).In terms of bladder function reconstruction time,there was statistical difference between the experimental group three and the other groups (P＜0.05).Conclusion The bladder volume scanner in the treatment of patients with spinal cord injury and neurogenic bladder dysfunction can shorten the recovery time of bladder function,and meanwhile has obvious advantage in reducing urinary system infection.The bladder volume scanner combined with the integrated physician-nurse-patient management mode is more excellent,and is worthy of clinical recommendation.
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Pannek J，Wollner J.Management of urinary tract infections in patients with neurogenic bladder：challenges and solutions[J].Res Rep Urol，2017，9：121-127.
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