急性期脊髓损伤患者神经源性肠功能障碍的早期护理干预：一项非同期对照试验。
Early nursing interventions for neurogenic bowel dysfunction in acute-phase spinal cord injury patients: A non-concurrent controlled trial.
作者信息
Li Hongyan, Wang Ruiling, Wang Zhaoxuan, Zhang Di
机构信息
Department of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
出版信息
Medicine (Baltimore). 2025 Aug 8;104(32):e43912. doi: 10.1097/MD.0000000000043912.
BACKGROUND
Traumatic spinal cord injury (SCI) often leads to neurogenic bowel dysfunction (NBD), causing significant gastrointestinal issues that adversely affect patients' quality of life (QoL). The current study evaluates the effectiveness of early nursing interventions in managing NBD among SCI patients.
METHODS
A non-concurrent controlled trial design included 125 participants with acute-phase SCI. The control group (n = 56) received standard nursing care, while the intervention group (n = 69) underwent personalized gastrointestinal management. Data were collected via NBD scores and the Short Form-12 QoL questionnaire.
RESULTS
Participants' average age was 41.55 ± 12.59 years, with a near-equal gender distribution. The intervention group showed significant improvement in bowel movement frequency, reduced defecation time, and decreased reliance on medication, leading to enhanced QoL compared to the control group.
CONCLUSION
The study highlights the critical role of early nursing interventions in improving NBD outcomes for SCI patients. Future research should consider multicenter designs to enhance generalizability and focus on chronic NBD management.
背景
创伤性脊髓损伤（SCI）常导致神经源性肠功能障碍（NBD），引发严重的胃肠道问题，对患者的生活质量（QoL）产生不利影响。本研究评估早期护理干预对SCI患者NBD的管理效果。
方法
一项非同期对照试验设计纳入了125例急性期SCI患者。对照组（n = 56）接受标准护理，干预组（n = 69）接受个性化胃肠道管理。通过NBD评分和简短健康调查12项生活质量问卷收集数据。
结果
参与者的平均年龄为41.55 ± 12.59岁，性别分布接近均等。干预组在排便频率、排便时间缩短以及对药物的依赖减少方面有显著改善，与对照组相比，生活质量得到提高。
结论
该研究突出了早期护理干预对改善SCI患者NBD结局的关键作用。未来研究应考虑多中心设计以提高普遍性，并关注慢性NBD的管理。
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