神经源性膀胱患者间歇导尿自我护理的路径化健康教育

目的:观察路径化健康教育在神经源性膀胱患者间歇导尿自我护理中的效果。方法:将65例脊髓损伤患者随机分为观察组33例和对照组32例,对照组按传统的健康教育方法进行护理,观察组采用健康教育路径表进行护理和指导。分别在干预前、出院时对2组知识知晓率、遵医率和住院天数进行比较。结果:观察组患者干预后知识知晓率、遵医率显著高于对照组(P<0.01);平均住院日显著低于对照组(P<0.01)。结论:路径化健康教育可提高神经源性膀胱患者间歇导尿的自我护理能力,缩短住院时间;明显优于传统健康教育方法。

Application of pathway-based standardized health education with self-nursing of patients with neurogenic bladder in intermittent catheterization

Objective: To observe the effect of standardized healthy education with self-nursing in patients with neurogenic bladder in intermittent catheterization.Methods: 65 patients with neurogenic bladder were randomly divided into trial group(n=33) and control group(n=33).The control group was given nursing care by traditional mode,and the trial group was given nursing and guidance by the form of standardized health education.The awareness rate of knowledge,medical advice compliance rate and the hospital stay in two groups were compared before intervention and after discharge of hospital.Results: The awareness rate of knowledge and medical advice compliance rate in trial group were obviously higher than in control group(P<0.01);There was significant difference in hospital stay between two groups(P<0.01).Conclusion: Standardized healthy education is more satisfactory than traditional health education mode for improving self-nursing capability in patients with neurogenic bladder in intermittent catheterization as well as shortening hospital stay.