广东地区神经源性膀胱康复护理管理及间歇导尿临床应用现况调查

目的 调查广东地区护士对神经源性膀胱和间歇导尿相关知识的认知及临床应用情况。方法 2020年12月至2021年1月,采用自行设计问卷量表,对广东地区的241名护士进行调查。结果 护士对神经源性膀胱和间歇导尿相关护理知识知晓自我评价得分较低。护士对神经源性膀胱的并发症及风险管理答题正确率较低。临床上虽然排尿障碍患者较多,但67.2%的人回答仍采用留置尿管,仅24.1%使用间歇导尿。仅9.9%护士认为医生对排尿障碍患者采取积极的措施。大部分护士愿意参加神经源性膀胱及间歇导尿相关培训及护理联盟,也愿意对出院后神经源性膀胱患者进行康复护理管理。结论 护士对神经源性膀胱和间歇导尿相关指南的知识认知不足,未将知识应用于临床,需要有针对性地采取进一步措施提高护士的认知,提升神经源性膀胱的规范管理。

Survey of Rehabilitation Nursing Management of Neurogenic Bladder and Clinical Application of Intermittent Catheterization in Guangdong,China

Objective To investigate the knowledgement and clinical application of neurogenic bladder and intermittent catheterization among nurses in Guangdong.Methods From December, 2020 to January, 2021, 241 nurses in Guangdong were investigated with a questionnaire designed by ourselves.Results The score was low in understanding the neurogenic bladder rehabilitation nursing management and intermittent catheterization through self-assessment. The awareness was deficient in the complication and risk management of neurogenic bladder. Although there were a lot of patients with dysuria in clinical practice, 67.2% of nurses still used indwelling catheter, and only 24.1% used intermittent catheterization. Only 9.9% nurses thought that patients with dysuria were treated positively by doctors. Most of nurses would like to participate in the training and nursing alliance in neurogenic bladder rehabilitation nursing management and intermittent catheterization, and manage patients with neurogenic bladder after discharge.Conclusion The knowledge of guidelines related with neurogenic bladder and intermittent catheterization among nurses is insufficient, and is not applied in clinical practice. More work should be done to improve the knowledge and standardization of management of neurogenic bladder.