Discussion on the nursing effect of systematic rehabilitation nursing in neurogenic bladder patients with spinal cord injury
系统性康复护理在脊髓损伤患者神经源性膀胱中的护理效果探讨

摘要

目的 将系统性康复护理用于脊髓损伤伴（SCI）神经源性膀胱（NB）患者中，对其效果进行探究。方法 选取2024年3月-2025年4月本院收治的82例SCI伴NB患者，随机分组，对照组41例实施常规护理，观察组41例实施系统性康复护理，对两组干预结果进行评价。结果 干预前，两组膀胱容量、最大排尿量、残余尿量比较，不具显著差异（P>0.05），干预后，观察组膀胱容量、最大排尿量更大，残余尿量更少（P<0.05）；干预前，两组SAS、SDS评分比较，不具显著差异（P>0.05），干预后，观察组各评分更低（P<0.05）；两组并发症发生率比较，观察组2.44%更低（P<0.05）。结论 对SCI伴NB患者来说，实施系统性康复护理可改善膀胱功能，减少残余尿量，缓解患者负面情绪，还可减少并发症发生，具有较高应用价值。

Abstract

Objective To apply systematic rehabilitation nursing to patients with spinal cord injury accompanied by (SCI) neurogenic bladder (NB) and explore its effect.
Methods A total of 82 patients with SCI accompanied by NB admitted to our hospital from March 2021 to April 2025 were selected and randomly grouped. 41 cases in the control group received routine care, and 41 cases in the observation group received systematic rehabilitation care. The intervention results of the two groups were evaluated.
Results Before the intervention, there was no significant difference in bladder capacity, maximum urination volume and residual urine volume between the two groups (P>0.05). After the intervention, the bladder capacity and maximum urination volume of the observation group were larger, and the residual urine volume was less (P<0.05). Before the intervention, there was no significant difference in the SAS and SDS scores between the two groups (P>0.05). After the intervention, the scores of each group in the observation group were lower (P<0.05). The comparison of the incidence of complications between the two groups showed that 2.44% was lower in the observation group (P<0.05).
Conclusion   For patients with SCI accompanied by NB, the implementation of systematic rehabilitation nursing can improve bladder function, reduce residual urine volume, relieve patients' negative emotions, and also reduce the occurrence of complications, which has high application value.