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脊髓损伤患者的泌尿外科护理

Urological care of the spinal cord-injured patient.

作者信息

Fonte Nancy

机构信息

AtlantiCare, Home Health, Egg Harbor Township, New Jersey 08234, USA.

出版信息

J Wound Ostomy Continence Nurs. 2008 May-Jun;35(3):323-31; quiz 332-3. doi: 10.1097/01.WON.0000319132.29478.17.

Abstract

Spinal cord injury (SCI) is a catastrophic occurrence affecting the lives of 11,000 people in the United States every year. Urologic complications account for much of the morbidity associated with SCI and as much as 15% of the associated mortality. Spinal cord-injured patients are required to digest a plethora of self-management information during the emotionally and psychologically distressing period immediately following their injury. As a vital resource in the SCI patients' recovery process, it is crucial for the WOC nurse to have knowledge of the specialized needs of this population. This article reviews the effects of SCI on bladder function, discusses potential complications of the neurogenic bladder, and provides an overview of management options to assist the patient in adaptation and restoration of quality of life.

摘要

脊髓损伤(SCI)是一种灾难性事件,每年影响着美国11000人的生活。泌尿系统并发症是SCI相关发病率的主要原因,在相关死亡率中占比高达15%。脊髓损伤患者在受伤后的情绪和心理痛苦期需要消化大量自我管理信息。作为SCI患者康复过程中的重要资源,伤口造口失禁专科护士了解这一人群的特殊需求至关重要。本文回顾了SCI对膀胱功能的影响,讨论了神经源性膀胱的潜在并发症,并概述了管理方案,以帮助患者适应并恢复生活质量。

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