摘要
目的探讨多维度协同护理模式对脑卒中后尿失禁患者康复效果的影响。方法选取2021年1月—2022年2月江西省信丰县人民医院诊治的66例脑卒中后尿失禁患者,采用随机数表法分为观察组与对照组,每组33例。对照组患者采用常规护理干预,观察组患者采用多维度协同护理模式干预。比较2组患者干预前和干预4周后生活质量综合评定量表(QOL)评分、国际尿失禁咨询委员会尿失禁问卷表简表(ICI-Q-SF)评分、排尿情况(白天排尿次数、夜间排尿次数及尿失禁次数)以及护理效果。结果2组患者干预后QOL躯体功能、社会功能、心理功能、物质功能4个维度评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。2组患者干预后ICI-Q-SF评分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。2组患者干预后白天排尿次数、夜间排尿次数以及尿失禁次数均少于干预前,且观察组少于对照组,差异均有统计学意义(P<0.05)。观察组患者护理总有效率为93.94%(31/33),高于对照组的75.76%(25/33),差异有统计学意义(χ^(2)=4.243,P=0.039)。结论多维度协同护理模式用于脑卒中后尿失禁患者康复护理中,效果较好,可有效改善患者尿失禁状况,减少排尿次数和尿失禁次数,提高患者生活质量。
Objective To investigate the effect of the multi-dimensional collaborative care model on the rehabilitation of patients with urinary incontinence after stroke.Methods From January 2021 to February 2022,66 patients with urinary incontinence after the stroke were randomly assigned to an observation group(n=33)and a control group(n=33).Patients in the control group received routine care intervention,and patients in the observation group received the multi-dimensional collaborative care model intervention.The generic quality of life(QOL)score,International Consultation on Incontinence Questionnaire-Short Form(ICI-Q-SF)score,urination(daytime urination frequency,nighttime urination frequency,and urinary incontinence frequency),and care effect were compared between the two groups before and after 4 weeks of intervention.Results The scores of physical function,social function,psychological function,and material life status in the QOL in the two groups after intervention were significantly higher than those before the intervention,with the scores in the observation group significantly higher than those in the control group(P<0.05).The ICI-Q-SF scores of patients in the two groups after intervention were significantly lower than those before the intervention,with the observation group significantly lower than the control group(P<0.05).The frequency of daytime urination,nighttime urination,and urinary incontinence in the two groups after intervention were significantly smaller than those before the intervention,with the observation group significantly smaller than the control group(P<0.05).The overall response rate of care in the observation group was 93.94%(31/33),which was higher than that in the control group(75.76%,25/33),with statistically significant differences(χ^(2)=4.243,P=0.039).Conclusion Multi-dimensional collaborative care model is effective in the rehabilitation care of patients with urinary incontinence after stroke,which can effectively improve the status of urinary incontinence,reduce the frequency of urination and urinary incontinence,and increase the quality of life.
作者
李小梅
陈秋燕
李小丽
Li Xiaomei;Chen Qiuyan;Li Xiaoli(Xinfeng County People's Hospital,Ganzhou Jiangxi 341600,China)
出处
《保健医学研究与实践》
2022年第11期84-87,共4页
Health Medicine Research and Practice
基金
赣州市卫生健康委员会市级科研计划项目(2022-2-169)。
关键词
多维度协同护理
脑卒中
尿失禁
生活质量
排尿日记
Multi-dimensional collaborative care
Stroke
Urinary incontinence
Quality of life
Voiding diary
