Analysis of nursing intervention of male neurogenic bladder by transurethral bladder irrigation
经尿道膀胱冲洗对男性神经源性膀胱护理干预的分析

摘要

目的 研究分析男性神经源性膀胱护理干预中经尿道膀胱冲洗的作用。方法 本次实验跨越2021年7月至2022年2月这一时间段，研究人员对50例神经源性膀胱患者进行研究。研究人员将本次实验研究对象按照双盲对照原则分组，对照组所选25例患者实施清洁间歇性导尿，实验组所选25例患者在对照组基础上实施经尿道膀胱冲洗，记录对照组及实验组患者并发症出现情况（尿路感染、膀胱痉挛、发热）、生活质量评分、不同时间点尿动力学指标（膀胱剩余尿量、每次导尿量、每日导尿次数），并实施比较分析。结果 对照组及实验组所选患者中分别有20人及11人出现并发症，占组内所选患者总人数的比例分别为80.00%及44.00%，比较分析组间并发症出现概率相关数据，差异较大，（p＜0.05）；对照组及实验组所选患者生活质量评分进行比较分析，分别为（74.2±6.1）分及（93.7±5.8）分，有着较大的差距，（p＜0.05）；干预前及干预一个月，对照组及实验组所选患者尿动力学指标之间无突出的差异，在干预三个月及六个月后，两组患者尿动力学指标表现出明显的差异，（p＜0.05）。结论 在男性神经源性膀胱护理干预中经尿道膀胱冲洗有着较高的应用价值。

Abstract

Objective: To study the effect of transurethral bladder washing in male neurogenic bladder nursing intervention.
Methods: During the time period from July 2021 to February 2022,50 neurogenic bladder patients were studied. The researchers will be the experimental subjects according to the principle of double-blind control, 25 patients selected clean intermittent catheterization, 25 patients in the control group on the basis of bladder washing, record control and experimental group complications (urinary tract infection, bladder spasm, fever), patients quality of life score, urodynamic index at different time points (bladder remaining urine, each catheterization, daily catheterization), and implement comparative analysis.
Results: 20 and 11 of the selected patients in control and experimental group had complications, The proportion of the total number of selected patients in the group was 80.00% and 44.00%, respectively, To compare and analyze the data related to the probability of complications between groups, The difference is relatively large, (p<0.05); Comparative analysis of the QoL scores of the selected patients in the control and experimental groups, (74.2 ± 6.1) and (93.7 ± 5.8), respectively, There is a big gap between them, (p<0.05); Before and for one month of the intervention, There were no prominent differences between the urodynamic indicators of the selected patients in the control and experimental groups, After three months and six months of the intervention, The urodynamic indicators showed significant differences in the two groups, (p<0.05).
Conclusion  : Transurethral bladder irrigation is very valuable in male neurogenic bladder care intervention.