Abstract:Objective To investigate the nursing efficacy of women’s urine drainage device in patients with urinary incontinence following stroke. Methods 107 female patients with stroke admitted to Neurovascular Surgery Department of General Hospital of Armed Police Forces between January 2014 and July 2015 were retrospectively analyzed. The patients were divided into treatment group (53 cases) and control group (54 cases), in whom urinary incontinence was managed with women’s urine drainage device and traditional care devices respectively.We discussed the advantages and disadvantages of different urine collection devices by comparing urinary tract infections, pressure sores, genital skin swelling and ulceration and life quality of patients.Results There was statistically significant difference between the two groups in terms of urine leukocyte count (34.0% for the treatment group and 74.3% for the control group,respectively,P<0.05) and urine culture positive rate (15.1% for the treatment group and 27.8% for the control group, respectively, P<0.05).Besides, the incidence rates of the adverse events of urine leakage, pressure sores, genital swelling and ulceration were significantly lower in the treatment group, while scoring for the Incontinence Quality of Life questionnaire (I-QOL) was statistically higher in the treatment group.Conclusions The new-type women’s urine drainage device helps reduce the incidence of urinary tract infections, pressure ulcers, penile swelling, ulceration, and some other complications, as well as improve patients’ life quality. It is worth clinical popularization.
李冬梅, 韩玉婷, 陈兰兰, 付丹丽, 闫金慧, 毛更生. 女性脑卒中后尿失禁应用新型尿液引流装置的疗效[J]. 武警医学, 2016, 27(9): 887-890.
LI Dongmei, HAN Yuting, CHEN Lanlan, FU Danli, YAN Jinhui, and MAO Gengsheng. Efficacy evaluation of women’s urine drainage device in patients with urinary incontinence following stroke. Med. J. Chin. Peop. Armed Poli. Forc., 2016, 27(9): 887-890.
Badlani G H.The incidence and etiology of overactive bladder in patients after cerebrovascalar accident[J].Current Urology Reports, 2012,13(5):402-406.
[3]
杨期东.神经病学[M].北京:人民卫生出版社,2002:104-107.
[4]
孙乐栋,周再高.生活质量问题研究[J].医学与哲学,2001,22(6):56-57.
[5]
Marciniak C,O’Shea S A, Lee J, et al. Urinary incontinence in adults with cerebral palsy: prevalence, type, and effects on participation[J]. PMR,2014,6(2):110-120.
[6]
Booth J, Kumlien S, Zang Y, et al. Rehabilitation nurses practices in relation to urinary incontinence following stroke: a cross-cultural comparison[J]. J Clin Nurs,2009,18(7):1049-1058.
[7]
Mehdi Z, Birns J, Bhalla A. Post-stroke urinary incontinence[J]. Int J Clin Pract,2013,67(11):1128-1137.