Pilcher Maria, MacArthur Juliet
NHS Lothian, Liberton Hospital, Edinburgh.
Nurs Stand. 2012;26(36):39-46. doi: 10.7748/ns2012.05.26.36.39.c9087.
To elicit the experiences of patients with bladder problems following stroke in one dedicated stroke unit and to share these findings with the multidisciplinary stroke team.
A structured questionnaire was completed by 40 inpatients who had an identified bladder problem, had had a stroke more than two weeks previously and were able to give informed consent. Following analysis of the results, a focus group discussion was held with the multidisciplinary stroke team.
The urinary symptom most frequently reported by patients two weeks following stroke was urgency (65%, n = 26), followed by leakage of urine (57%, n = 23), frequency (37%, n = 15) and nocturia (37%, n = 15). Depression and feelings of embarrassment were common. Patients were least satisfied with the use of bedpans for toileting purposes and a urethral catheter as a method of containment. The need for more proactive patient-focused continence management was identified by the multidisciplinary stroke team during the focus group discussion.
Patient-focused management of urinary symptoms is important to alleviate concern, distress and discomfort, and reduce the potential effect that these symptoms may have on the patient's ability to participate in therapeutic activities that promote recovery.
了解某一专门的卒中单元中卒中后出现膀胱问题的患者的经历，并与多学科卒中团队分享这些发现。
40名已确诊有膀胱问题、卒中超过两周且能够给予知情同意的住院患者完成了一份结构化问卷。在对结果进行分析后，与多学科卒中团队进行了一次焦点小组讨论。
卒中两周后患者最常报告的泌尿系统症状是尿急（65%，n = 26），其次是漏尿（57%，n = 23）、尿频（37%，n = 15）和夜尿（37%，n = 15）。抑郁和尴尬情绪很常见。患者对使用便盆如厕和使用尿道导管作为一种控制方法最不满意。在焦点小组讨论中，多学科卒中团队确定需要更积极地以患者为中心进行尿失禁管理。
以患者为中心管理泌尿系统症状对于减轻患者的担忧、痛苦和不适，并减少这些症状可能对患者参与促进康复的治疗活动的能力产生的潜在影响非常重要。
