Department of Rehabilitation Medicine, The Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang, China (mainland).
Department of Gastroenterology, The Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang, China (mainland).
Med Sci Monit. 2023 Oct 25;29:e939695. doi: 10.12659/MSM.939695.
BACKGROUND Neurological bowel dysfunction (NBD) due to spinal cord injuries (SCIs) is common and significantly impacts patients' quality of life. This study evaluated the efficacy of quantitative assessment-based nursing interventions on bowel function recovery, quality of life, and caregivers' satisfaction with SCI patients with NBD. MATERIAL AND METHODS The study included 418 SCI patients with NBD. Patients were categorized into 3 cohorts: quantitative assessment-based nursing intervention (QN, n=114), conventional nursing intervention (CN, n=125), or no nursing intervention (DN, n=189). The 3 cohorts were followed over a 6-month period. RESULTS At 6 months post-intervention, patients in the QN and CN cohorts showed significant reductions in symptoms of fecal incontinence, constipation, and abdominal distension compared to the DN cohort. Additionally, defecation time decreased significantly in the QN and CN cohorts compared to both initial measures and the DN cohort. Notably, patients in the QN cohort demonstrated substantial improvement in overall quality of life scores compared to baseline, CN, and DN cohorts. The QN cohort also reported marked improvement in caregivers' satisfaction, surpassing that of caregivers in the CN and DN cohorts. CONCLUSIONS Six months of quantitative assessment-based nursing interventions significantly improved bowel function, quality of life, and caregiver satisfaction in SCI patients with NBD. This intervention appears beneficial for managing NBD in SCI patients and improving their quality of life and caregiver satisfaction.
脊髓损伤（SCI）导致的神经源性肠道功能障碍（NBD）很常见，严重影响患者的生活质量。本研究评估了基于定量评估的护理干预对 NBD 型 SCI 患者肠道功能恢复、生活质量和照护者满意度的影响。
该研究纳入了 418 例 NBD 型 SCI 患者。患者分为三组：基于定量评估的护理干预组（QN，n=114）、常规护理干预组（CN，n=125）或无护理干预组（DN，n=189）。三组患者均随访 6 个月。
干预 6 个月后，QN 和 CN 组患者的粪便失禁、便秘和腹胀症状较 DN 组显著减轻。此外，QN 和 CN 组的排便时间较初始值和 DN 组显著减少。值得注意的是，与基线、CN 和 DN 组相比，QN 组患者的整体生活质量评分有显著提高。QN 组患者的照护者满意度也有显著提高，超过了 CN 和 DN 组。
6 个月的基于定量评估的护理干预可显著改善 NBD 型 SCI 患者的肠道功能、生活质量和照护者满意度。该干预措施对管理 SCI 患者的 NBD、提高其生活质量和照护者满意度有益。
