[1]周美玲,张荀芳,何炼英,等.卒中后患者神经源性膀胱管理的最佳证据总结[J].解放军护理杂志,2021,38(05):67-70.[doi:10.3969/j.issn.1008-9993.2021.05.018]
　ZHOU Meiling,ZHANG Xunfang,HE Lianying,et al.Management of Neurogenic Bladder in Patients after Stroke: A Summary of the Evidence[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(05):67-70.[doi:10.3969/j.issn.1008-9993.2021.05.018]
点击复制

卒中后患者神经源性膀胱管理的最佳证据总结()
分享到：

《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年05期
页码:
67-70
栏目:
循证护理
出版日期:
2021-05-15

文章信息/Info

Title:
Management of Neurogenic Bladder in Patients after Stroke: A Summary of the Evidence
文章编号:
1008-9993(2021)05-0067-04
作者:
周美玲1; 张荀芳1; 何炼英1; 李建英1; 徐亚琴2; 娄玲娣2
1.浙江省人民医院 护理部,浙江 杭州 310014; 2.浙江省人民医院 脑病康复病区
Author(s):
ZHOU Meiling1; ZHANG Xunfang1; HE Lianying1; LI Jianying1; XU Yaqin2; LOU Lingdi2
1.Department of Nursing,Zhejiang Provincial People’s Hospital,Hangzhou 310014,Zhejiang Province,China; 2.Departmeng of Encephalopathy Rehabilitation,Zhejiang Provincial People’s Hospital
关键词:
脑卒中;  神经源性膀胱;  证据总结
Keywords:
Stroke;  neurogenic bladder;  evidence summary
分类号:
R473.59
DOI:
10.3969/j.issn.1008-9993.2021.05.018
文献标志码:
A
摘要:
目的 检索、评价和获取卒中后患者神经源性膀胱管理的最佳证据。方法 应用循证护理方法,针对卒中后患者神经源性膀胱护理提出问题,检索相关文献,采用澳大利亚乔安娜·布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健中心的文献评价标准和证据分级系统,对文献进行质量评价及证据级别评定。结果 共纳入9篇文献,包括指南6篇、系统评价2篇、专家共识1篇,总结了21条最佳证据。 结论 建议医护人员在临床应用证据时,充分评估并结合所在医疗机构的临床环境及条件、患者及家属意愿等进行证据选择,从而提高患者依从性,有效实施干预。
Abstract:
Objective To retrieve,evaluate and obtain the evidence summary of neurogenic bladder management in patients after stroke.Methods Based on the method of evidence-based nursing,raising questions about neurogenic bladder care in patients after stroke,retrieving relevant literature,Joanna Briggs Institute(JBI)evidence appraisal and recommendation system were used to evaluate the quality of studies and level of evidence.Results Totally 9 articles were included,including 6 guidelines,2 systematic reviews and 1 expert consensus.Finally,21 pieces of best evidence were summarized.Conclusions It is suggested that the medical staff should fully evaluate the clinical environment and the medical institution condition,patients’ and their families’ intention or preference to select the evidence,so as to improve patient’s compliance and effectively implement the interventions.

参考文献/References:

[1] 王毅,赵耀瑞.卒中后神经源性膀胱诊治专家共识[J].中国卒中杂志,2016,11(12):1057-1066.
[2] TUONG N E,KLAUSNER A P,HAMPTON L J.A review of post-stroke urinary incontinence[J].Can J Urol,2016,23(3):8265-8270.
[3] DALLENBACH P,BARDINI C,JOHN G,et al.Urinary incontinence as a predictor of death after new-onset stroke:a meta-analysis[J].Euro J Neurol,2016,23:1548-1555.
[4] KUSHNER D S,JOHNSON G D.Association of urinary incontinence with cognition,transfers and discharge destination in acute stroke inpatient rehabilitation[J].J Stroke Cerebrovasc Dis,2018,27(10):2677-2682.
[5] JOHN G,PRIMMAZ S,CRICHTON S,et al.Urinary incontinence and indwelling urinary catheters as predictors of death after newonset stroke:a report of the South London stroke register[J].J Stroke Cerebrovasc Dis,2018,27(1):118-124.
[6] MEHDI Z,BIRNS J,BHALLA A.Post-stroke urinary incontinence[J].Internat J Clin Pract,2013,67(11):1128-1137.
[7] KUSHNER D S,DOUG J G.Association of urinary incontinence with cognition,transfers and discharge destination in acute stroke inpatient rehabilitation[J].J Stroke Cerebrovascul Dis,2018,27(10):2677-2682.
[8] 中国康复医学会康复护理专业委员会.神经源性膀胱护理实践指南(2017年版)[J].护理学杂志,2017,32(4):1-7.
[9] 陈煌,谢红珍,黎蔚华,等.脑卒中肢体功能障碍患者早期康复护理的最佳证据总结[J].解放军护理杂志,2020,37(6):6-10.
[10]BROUWERS M C,KHO M E,BROWMAN G P,et al.AGREEII-users manual and 23-item instrument[EB/OL〗.(2017-10-15).[2020-08-01〗.https://www.agreetrust.org/ about-the-agree-enterprise/.
[11] 熊俊,陈日新.系统评价/Meta分析方法学质量的评价工具AMSTAR[J].中国循证医学杂志,2011,11(9):1084-1089.
[12] The Joanna Briggs Institute(JBI).JBI critical appraisal tools[EB/OL〗.(2017-07-15)[2020-08-01〗.https://jbi.global/critical-appraisal-tools.
[13]王春青,胡雁.JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967.
[14] NORITOSHI S,YASUHIKO I,HIDEHIRO K,et al.Clinical guidelines for the diagnosis and treatment of lower urinary tract dysfunction in patients with spinal cord injury[J].Internat J Urol,2020,27(4):276-288.
[15]BOTHING R,GENG V,KURZE I.Management and implementation of intermittent catheterization in neurogenic lower urinary tractdysfunction[J].Int J Urol Nurs.2017; 11:173-181.http://doi.wiley.com/10.1111/ijun.12145.
[16] DRAKE M J,APOSTOLIDIS A,COCCI A,et al.Neurogenic lower urinary tract dysfunction:Clinical management recommendations of the Neurologic Incontinence committee of the Fifth International Consultation on Incontinence 2013[J].Neurourol Urodyn.2016,35:657-665.
[17]廖利民,吴娟,鞠彦合,等.脊髓损伤患者泌尿系管理与临床康复指南[J].中国康复理论与实践,2013,19(4):301-317.
[18] Consortium for Spinal Cord Medicine.Bladde rmanagement for adults with spinal cord injury:a clinical practice guideline for Health-care providers[J].J Spinal Cord Med.2006; 29(5):527-573.
[19]BRAGGE P,GUY S,BOULET M,et al.A systematic review of the content and quality of clinical practice guidelines for management of the neurogenic bladder following spinal cord injury[J/OL].Spinal Cord,2019,57(7):540-549.
[20]王永利,张振香,梅永霞,等.脑卒中后尿失禁患者疾病体验质性研究的系统评价[J].中华护理杂志,2020,55(6):932-936.

相似文献/References:

[1]胡欢欢,郑静,李冬梅,等.卒中健康管理门诊的建立与实践效果研究[J].解放军护理杂志,2021,38(02):48.[doi:10.3969/j.issn.1008-9993.2021.02.013]
　HU Huanhuan,ZHENG Jing,LI Dongmei,et al.Establishment and Effect of Stroke Health Management Clinic[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(05):48.[doi:10.3969/j.issn.1008-9993.2021.02.013]
[2]朱金扬,李颖,汪凤兰.脑卒中患者心理痛苦对创伤后成长的影响:反刍性沉思的中介作用[J].解放军护理杂志,2021,38(03):18.[doi:10.3969/j.issn.1008-9993.2021.03.005]
　ZHU Jinyang,LI Ying,WANG Fenglan.Effect of Psychological Distress on Posttraumatic Growth among Stroke Patients: The Mediating Role of Rumination[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(05):18.[doi:10.3969/j.issn.1008-9993.2021.03.005]
[3]叶明明,张薇,邓锐,等.首发脑卒中患者照护者的家庭抗逆力水平及其影响因素[J].解放军护理杂志,2021,38(05):1.[doi:10.3969/j.issn.1008-9993.2021.05.001]
　YE Mingming,ZHANG Wei,DENG Rui,et al.Family Resilience in the Caregivers of First-stroke Patient and Its Influencing Factors[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(05):1.[doi:10.3969/j.issn.1008-9993.2021.05.001]
[4]赵力慧,孙秋雪,郭玉成,等.脑卒中患者领悟社会支持与抑郁间的中介效应及心理弹性的调节效应[J].解放军护理杂志,2021,38(09):6.[doi:10.3969/j.issn.1008-9993.2021.09.002]
　ZHAO Lihui,SUN Qiuxue,GUO Yucheng,et al.Mediating Effect between Perceived Social Support and Depression among Stroke Patients and the Moderating Effect of Resilience[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(05):6.[doi:10.3969/j.issn.1008-9993.2021.09.002]
[5]于晓丽,李晓凤,王金宁,等.多视角下老年脑卒中患者居家健康管理影响因素的质性研究[J].解放军护理杂志,2021,38(10):12.[doi:10.3969/j.issn.1008-9993.2021.10.004]
　YU Xiaoli,LI Xiaofeng,WANG Jinning,et al.Influencing Factors of Home Health Management of Elders with Stroke from Multiple Perspectives:A Qualitative Study[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(05):12.[doi:10.3969/j.issn.1008-9993.2021.10.004]
[6]郑静,胡欢欢,李冬梅.胸腔镜肺叶切除术后并发急性大血管闭塞性缺血性脑卒中患者的观察与护理[J].解放军护理杂志,2021,38(10):77.[doi:10.3969/j.issn.1008-9993.2021.10.020]
　ZHENG Jing,HU Huanhuan,LI Dongmei.Observation and Nursing Care of Patients with Acute Large Vessel Occlusive Ischemic Stroke after Thoracoscopic Lobectomy[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(05):77.[doi:10.3969/j.issn.1008-9993.2021.10.020]
[7]刘志薇,张振香,梅永霞,等.脑卒中患者抑郁症状的潜在剖面分析及影响因素研究[J].解放军护理杂志,2021,38(12):5.[doi:10.3969/j.issn.1008-9993.2021.12.002]
　LIU Zhiwei,ZHANG Zhenxiang,MEI Yongxia,et al.Latent Profile Analysis of Depressive Symptoms Among Patients with Stroke and Its Influencing Factors[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(05):5.[doi:10.3969/j.issn.1008-9993.2021.12.002]
[8]安晓,李娜,黄梅英,等.脑卒中患者跌倒预防的最佳证据总结[J].解放军护理杂志,2022,39(02):51.[doi:10.3969/j.issn.1008-9993.2022.02.013]
　AN Xiao,LI Na,HUANG Meiying,et al.Prevention of Falls in Stroke Patients:Best Evidence Summary[J].Nursing Journal Of Chinese People’s Laberation Army,2022,39(05):51.[doi:10.3969/j.issn.1008-9993.2022.02.013]
[9]刘雨婷,李育平,黄羽佳,等.我国脑卒中预测研究的热点和前沿的可视化分析[J].解放军护理杂志,2022,39(03):48.[doi:10.3969/j.issn.1008-9993.2022.03.012]
　LIU Yuting,LI Yuping,HUANG Yujia,et al.Visual Analysis: Research Hotspots and Frontiers of Stroke Prediction in China[J].Nursing Journal Of Chinese People’s Laberation Army,2022,39(05):48.[doi:10.3969/j.issn.1008-9993.2022.03.012]
[10]陈文颖,唐淑慧,李凡凡,等.脑卒中健康管理最佳证据总结[J].解放军护理杂志,2022,39(05):43.[doi:10.3969/j.issn.1008-9993.2022.05.011]
　CHEN Wenying,TANG Shuhui,LI Fanfan,et al.Evidence Summary for Health Management of Ischemic Stroke[J].Nursing Journal Of Chinese People’s Laberation Army,2022,39(05):43.[doi:10.3969/j.issn.1008-9993.2022.05.011]

备注/Memo

备注/Memo:
【 收稿日期 】 2021-01-14 【 修回日期 】 2021-03-26
【 基金项目 】 浙江省医药卫生科技计划项目(2019KY271)
【 作者简介 】 周美玲,硕士,主管护师,从事老年慢性病护理研究
【 通讯作者 】 张荀芳,电话:0571-87312015
更新日期/Last Update: 2021-05-15