实用老年医学

实用老年医学 ›› 2024, Vol. 38 ›› Issue (11): 1174-1177.doi: 10.3969/j.issn.1003-9198.2024.11.019

• 护理园地 • 上一篇    下一篇

基于目标控制结合Crede排尿法的精细化护理模式在卧床老年尿失禁病人中的应用研究

王英杰, 乔然, 于彤, 朱宏伟, 王晓晶   

  1. 100730 北京市, 中国医学科学院北京协和医院保健医疗部
  • 收稿日期:2023-11-16 出版日期:2024-11-20 发布日期:2024-11-21
  • 通讯作者: 王晓晶,Email:wangxiaojing@pumch.cn
  • 基金资助:
    中央高水平医院临床科研业务费资助项目(2022-PUMCH-B-031)

Application research of refined nursing model based on target control combined with Crede urination method in bedridden elderly patients with urinary incontinence

WANG Yingjie, QIAO Ran, YU Tong, ZHU Hongwei, WANG Xiaojing   

  1. Healthcare Department, Peking Union Medical College Hospital, Beijing 100730, China
  • Received:2023-11-16 Online:2024-11-20 Published:2024-11-21
  • Contact: WANG Xiaojing, Email:wangxiaojing@pumch.cn

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摘要： 目的 评价基于目标控制结合Crede排尿法的精细化护理模式对卧床老年尿失禁病人排尿功能及泌尿系感染情况的影响。 方法 选取北京协和医院住院的70例卧床老年尿失禁病人,按随机数表法分为2组。对照组给予常规治疗和护理,干预组给予基于目标控制结合Crede排尿法的精细化护理,3个月后评价病人的排尿功能及泌尿系感染情况。 结果 干预后,干预组平均尿失禁率低于对照组,差异有统计学意义(0.30±0.21比0.49±0.30,P=0.004)。2组膀胱残余尿量、留置尿管率及泌尿系统感染率差异均无统计学意义(P>0.05)。 结论 基于目标控制结合Crede排尿法的精细化护理模式可以有效缓解卧床老年病人尿失禁情况,但对减少泌尿系统感染发生的效果不明显。

关键词: Crede排尿, 目标控制, 精细化护理, 老年人, 尿失禁

Abstract: Objective To evaluate the effect of refined nursing model based on target control combined with Crede urination method on urinary function and urinary tract infection in bedridden elderly patients with urinary incontinence. Methods A total of 70 bedridden elderly patients with urinary incontinence in Peking Union Medical College Hospital were selected and divided into two groups according to random number table method. The control group was given routine treatment and nursing, and the intervention group was given refined nursing model based on target control combined with Crede urination method. The urination function and urinary infection were evaluated after 3 months. Results After intervention, the average urinary incontinence rate in the intervention group was significantly lower than that in the control group (0.30±0.21 vs 0.49±0.30,P=0.004) . There were no significant differences in residual bladder urine, indwelling catheter rate and urinary tract infection rate between the two groups(P>0.05). Conclusions Refined nursing model based on target control combined with Crede urination method can effectively relieve urinary incontinence in bedridden elderly patients, but it shows no obvious effect in reducing the occurrence of urinary system infection.

Key words: Crede urination, target control, refined nursing, aged, urinary incontinence

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