Application of individual bladder safe capacity in bladder function rehabilitation among patients with spinal injury

Abstract

Objective To explore the effects of intermittent catheterization conducted by bladder safe capacity on bladder function rehabilitation among patients with spinal injury. Methods A total of 60 patients with spinal injury and neurogenic bladder of Rehabilitation Department of Spine were selected as subjects by convenience sampling from January 2015 to January 2016. They were randomly divided into intervention group (intermittent catheterization conducted by the bladder capacity scanner) and control group (routinely regular intermittent catheterization) . And then, this study compared the recovery of bladder function and the incidence of urinary tract infection of patients in two groups. Results At the fourth week, there were 9 patients with reflex bladder in intervention group more than that (4 patients) in control group with a significant difference (P 0.05) . The difference on cases with urinary tract infection in control group (66 times) and intervention group (35 times) was significant (P<0.05) . The times of reflex urination for the first time and bladder functional reconstruction in intervention group were lower than those in control group with significant differences (P<0.05) . Conclusions Intermittent catheterization based on individual bladder safe capacity can effectively shorten the times of reflex urination for the first time and bladder functional reconstruction, reduce the residual urine and decrease the incidence of urinary infection. Key words: Spinal injuries; Nursing care; Intermittent urethral catheterization; Safety capacity