间歇导尿术在脊髓损伤致神经源性膀胱中的心理影响.pdf

间歇导尿术在脊髓损伤致神经源性膀胱中的心理影响目的：探讨间歇导尿术在脊髓损伤引起的神经源性膀胱中的心理影响，同时对患者进行密切随访，了解患者远期的心理健康状况。方法：选择本院2010年12月-2014年12月收治的22例脊髓损伤（SCI）患者为研究对象，根据入院顺序随机将其分为试验组11例和对照组11例，住院期间密切关注患者病情和心理变化，制定详细的饮水和护理计划，试验组采用间歇导尿术，对照组采用留置导尿术，试验前后试验组与对照组均行ADL评估及国际通用的症状自评量表（SCL-90）评估。结果：随访2个月后，试验组的ADL评分明显高于对照组，差异有统计学意义（P＜0.05）；SCL-90评分方面，试验组与对照组患者治疗后在焦虑、抑郁及人际关系三项症状上均较治疗前有所改善，且试验组改善情况优于对照组，比较差异均有统计学意义（P＜0.05）。结论：间歇导尿术能提高脊髓损伤患者日常生活能力，降低患者的焦虑、抑郁情绪，改善人际关系，采取正确的清洁间歇导尿方法在减少患者不便和难堪的同时，减轻患者心理负担，有利于患者更好的回归社会，回归家庭，具有重要的临床意义。[Abstract]Objective：Toexplorethepsychologicaleffectsofintermittenturethralcatheterizationonneurogenicbladderpatientscausedbyspinalcordinjury，andtounderstandthelong-termmentalhealthstatusofpatientsbyfollowingupclosely.Method：Twenty-twospinalcordinjurypatientsadmittedtoourhospitalfromDecember2010toDecember2014wereselectedastheobjectsanddevidedintothecontrolgroupandtheexperimentalgroup，11patientsineachgroup.Thepatients’conditionandpsychologicalchangeswerecloselyobservedduringhospitalization，andadetailedschedulefordrinkingwaterandnursingwasmadebeforeandaftertheexperiment.Theexperimentalgroupwastreatedwithintermittentcatheterization，whilethecontrolgroupwasgivenindwellingcatheterization，theexperimentalgroupandthecontrolgroupwereevaluatedbyADLassessmentandinternationalgeneralsymptomchecklist（SCL-90）assessment.Result：Aftertwomonths’followed-up，theADLscoresoftheexperimentalgroupwassignificantlyhigherthanthatofthecontrolgroup，thedifferencewasstatisticallysignificant（P＜0.05）；AstotheSCL-90assessment，bothofthetwogroupsweresignificantlyimprovedinanxiety，depressionandinterpersonalrelationship，andtheexperimentalgroupwasbetterthanthecontrolgroup，thedifferenceswerestatisticallysignificant（P＜0.05）.Conclusion：Theintermittentcatheterizationisbeneficialtoimprovetheabilityofdailylifeofpatients，whichreducestheanxietyanddepressionofpatientsandimprovetheirinterpersonalrelationship.Adoptingcleanintermittentcatheterizationintherightwayscanreducepatients’inconvenience，embarrassment，andthementalburden，itisalsohelpfulforpat