Influence Of Rehabilitation Nursing On Nerve Source Urinary Incontinence After Stroke

Objective: Nerve Source Urinary Incontinence is one of the serious complications after stroke. It will not only influence the patients’ survival rate, prognosis, and quality of life, but also bring heavy economical and psychological burden to their families. This research aims at the influence of rehabilitation nursing on nerve source urinary incontinence patients’ bladder function, so as to better direct the clinical nursing activities, to lessen patients’ suffering, and to improve their quality of life.Methods: In the research, 78 inpatients were included who were treated in the rehabilitation medical department of our hospital from Jan. to Oct. 2014. All these inpatients are finally diagnosed as cerebral infarction or hemorrhage according to “Guidance to China CVD Prevention and Cure”(7th edition) and skull CTor MRI. They suffered from nerve source urinary incontinence because of stroke for the first time. They were from 35 to 65 years old, including males and females. They were divided into two groups: study group and control group. Both the two groups got basic treatment and usual care, basic treatment included the following measurements: 1) give usual clinical treatment; 2) IF out-burst treatment, adopting BA2008-Ⅱcomputer IF healing equipment made by Beijing Ben’ao New technology Limited Company; usual care included 1) keep the sickbeds neat; 2) keep the perineal region skin clean and dry, nursing it once a day;3) knowledge of urinary education. Besides, the study group were given rehabilitation nursing intervention(bladder functional training): 1) To begin the training 20-30 minutes after the latest emiction. Ask the inpatients to drink 200-300 ml water, guide them to practice abdominal breathing so that their abdominal, urethral and perineum muscle may contract and relax slowly and vigorously for 2-3 minutes, contracting for 3-5 seconds, and relaxing for 5 seconds. Initially twice one day, then 4 times one day. 2)The researcher puts the center of the palm on the bladder area, massages it softly and clockwise for 3-4 minutes, initially softly, and then intensively, and then softly. 3) After the training, ask the inpatients to hear the sound of the lotic water, induce them to urinate under the conditional reflex. Even if they don’t have any urine, they have to try to urinate. When the inpatients begin to urinate, direct them to slow down or interrupt the urination 2-3 times consciously. Both the two groups were tested once before the rehabilitation nursing intervention, two and three weeks after it. The main test indexes include daytime urinary frequency and max single urinary output for once. Then record the data, and at last make the comparison in each group and between the two groups.Results:1 There was no significantly statistical difference in gender and disease between the two groups(P>0.05). There was no statistical difference in daytime urinary frequency and max single urinary output before the rehabilitation nursing intervention. The max single urinary output was(176.31±21.789) ml for the study group, and(173.05±19.527)ml for the control group. The daytime urinary frequency was(9.26±1.534) times for the study group and(9.56±1.635)times for the control group. So P>0.05, the data of the two groups equilibrate and may be compared.2 For the study group, the daytime urinary frequency was(7.13±1.472)times two weeks after the rehabilitation nursing intervention, and(9.26±1.534)times before it. So P<0.01, there was a statistical difference. The daytime urinary frequency was(6.03±1.135)times three weeks after the rehabilitation nursing intervention, and(9.26±1.534)times before it. So P<0.01, there was also a statistical difference.3 For the study group, the max single urinary output two weeks after the rehabilitation nursing intervention was( 219.36±39.643) ml, and(176.31±21.789)ml before it. So P<0.05, there was a statistical difference. The max single urinary output three weeks after the rehabilitation nursing intervention was(267.51±42.922) ml, and(176.31±21.789) ml before it. So P<0.01,there was also a statistical difference.4 For the control group, the daytime urinary frequency was(7.95±1.685) times two weeks after the usual care intervention, and(9.56±1.635) times before it. So P<0.01, there was a statistical difference. The daytime urinary frequency was(6.85±1.368) times three weeks after the usual care intervention, and(9.56±1.635)times before it. So P<0.01, there was also a statistical difference.5 For the control group, the max single urinary output two weeks after the usual care intervention was(202.95±31.863)ml, and(173.05±19.527) ml before it. So P<0.05, there was a statistical difference. The max single urinary output three weeks after the usual care intervention was(227.31±38.951) ml, and(173.05±19.527)ml before it. So P<0.01, there was also a statistical difference.6 By comparing the daytime urinary frequency and the max single urinary output two and three weeks after the nursing intervention of the two groups, we know that P<0.05, so there was a statistical difference.7 In the study group, the coefficient correlation of the age and the intervention effect was-0.305.It’s highly negative correlation, so the younger the inpatient was, the better the effect was. By analyzing the relationship between the gender, etiopathogenisis and the intervention effect, it shows that P=0.059>0.05. The intervention effect for females was better than that for males, but it’s more stable for males. It’s better for cerebral infarction patients than for cerebral hemorrhage patients, but it’s more stable for cerebral hemorrhage patients.Conclusions:1 In both study and control groups, nursing intervention will improve, to some degree, the urinary function of those who suffer from nerve source urinary incontinence after stroke. Their daytime urinary frequency becomes smaller, and the max single urinary output increases. And they also resume the function to cue the patients that they need to urinate.2 Rehabilitation nursing intervention has a better effect than usual care for such patients.