以质量求发展,以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (3): 27-33.doi: 10.16460/j.issn1008-9969.2021.03.027

• 循证护理 • 上一篇    下一篇

神经源性膀胱功能障碍评估与管理相关指南的整合研究

龚德1, 王颖敏2, 钟丽容2, 贾萌萌1, 刘婷1, 赵娟娟1, 李琨1   

  1. 1.中山大学护理学院,广东 广州 510030;
    2.中山大学孙逸仙纪念医院,广东 广州 510120
  • 收稿日期:2020-10-21 发布日期:2021-03-12
  • 通讯作者: 李琨(1981-),女,山东德州人,博士,副教授,内科教研室主任。E-mail:likun22@mail.sysu.edu.cn
  • 作者简介:龚德(1996-),男,重庆人,硕士。
  • 基金资助:
    国家自然科学基金(53000-41030001)

Integrated Study of Guidelines on Assessment and Management of Neurogenic Bladder Dysfunction

GONG De1, WANG Ying-min2, ZHONG Li-rong2, JIA Meng-meng1, LIU Ting1, ZHAO Juan-juan1, LI Kun1   

  1. 1. School of Nursing, Sun Yat-sen University, Guangzhou 510030, China;
    2. Sun Yat-sen Memorial Hospital,Guangzhou 510120, China
  • Received:2020-10-21 Published:2021-03-12

摘要: 目的 对现有的神经源性膀胱功能障碍评估与管理相关指南进行整合,从而形成本土化证据资源。方法 以ADAPTE方法为依据,形成神经源性膀胱功能障碍评估与管理的临床护理实践草案,通过神经源性膀胱功能障碍患者与相关专家的相继论证,对推荐意见进行评价并整合,最终修订形成正式版指南。结果 最终纳入5篇循证指南,整合形成的指南内容包括神经源性膀胱功能障碍的分类、病史采集、相关检查、导尿建议及辅助膀胱管理措施共5个主题,共20条推荐意见。结论 本研究整合形成了神经源性膀胱功能障碍评估与管理领域高质量的循证资源,为临床中的循证护理实践提供了参考和依据。

关键词: 神经源性膀胱功能障碍, 评估, 管理, 指南, 整合

Abstract: Objective To integrate the existing guidelines for the assessment and management of neurogenic bladder dysfunction, and to form localized evidence. Methods Based on the ADAPTE method, a draft of clinical nursing practice for the assessment and management of neurogenic bladder dysfunction was developed. The recommendations were evaluated and integrated through successive demonstration of patients with neurogenic bladder dysfunction and relevant experts, and the official guidelines were finally formed. Results Five guidelines were integrated and included 5 topics of classification of neurogenic bladder dysfunction, history collection, relevant examinations, recommendations for catheterization and measures to assist bladder management, with a total of 20 recommendations. Conclusion This study integrates and forms high-quality evidence-based resources in the field of assessment and management of neurogenic bladder dysfunction, providing reference and basis for clinical evidence-based nursing practice.

Key words: neurogenic bladder dysfunction, evaluation, management, guidance, integration

中图分类号: 

  • R47
[1] 燕铁斌. 康复护理学[M]. 4版. 北京:人民卫生出版社,2016:209.
[2] Fischer N,Church P,Lyons J,et al.A Qualitative Exploration of the Experiences of Children with Spina Bifida and Their Parents Around Incontinence and Social Participation[J]. Child Care Health Dev, 2015, 41(6):954-962.DOI:10.1111/cch.12257.
[3] Myers JB, Lenherr SM, Stoffel JT, et al.Patient Reported Bladder Related Symptoms and Quality of Life after Spinal Cord Injury with Different Bladder Management Strategies[J]. J Urol, 2019,202(3):574-584.DOI:10.1097/JU.000000000000
0270.
[4] Fervers B, Burgers JS, Haugh MC, et al.Adaptation of Clinical Guidelines:Literature Review and Proposition for a Framework and Procedure[J]. Int J Qual Health Care, 2006, 18(3):167-176. DOI:10.1093/intqhc/mzi108.
[5] 王宇,饶友义,郭军,等. AGREEⅡ系统对现行国内外急性胰腺炎指南的评价分析[J]. 临床肝胆病杂志, 2018, 34(6): 1225-1230. DOI:10.3969/j.issn.1001-5256.2018.06.019.
[6] AGREE Next Steps Consortium. Te AGREE II Instrument[EB/OL].(2017-12-05)[2020-03-05].http://www.agreetrust. org/resource-centre/agree-ii/.
[7] Shea BJ, Grimshaw JM, Wells GA, et al.Development of AMSTAR: A Measurement Tool to Assess the Methodological Quality of Systematic Reviews[J]. BMC Med Res Methodol, 2007, 7(15):10. DOI:10.1186/1471-2288-7-10.
[8] The GRADE Working Group. GRADE Handbook[EB/OL].(2013-10-30)[2019-07-31].http://gdt.guidelinedevelopment.org/app/handbook/handbook.html]h.wsfivfhuxv4r.
[9] 金晓超,吴荣,孙秋子,等. 糖尿病高危足患者健康教育临床护理实践指南的整合研究[J]. 护理学报,2020,27(10):49-53. DOI:10.16460/j.issn1008-9969.2020.10.049.
[10] 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(24):1-7.
[11] Blok B, Castro-Diaz D,Del Popolo J,et al. EAU Guidelines on Neuro-urology:European Association of Urology[EB/OL]. (2019-01-06)[2020-03-08].https://uroweb.org/guideline/neuro-urology/.
[12] Kavanagh A,Baverstock R,Campeau L,et al.Canadian Urological Association Guideline: Diagnosis, Management, and Surveillance of Neurogenic Lower Urinary Tract Dysfunction-full Text[J].Can Urol Assoc J,2019,13(6):E157-E176. DOI:10.5489/cuaj.5912.
[13] National Institute for Health and Care Excellence. Urinary Incontinence in Neurological Disease:Assessment and Management[EB/OL]. (2012-08-06)[2020-03-07]. https://www.nice.org.uk/guidance/cg148.
[14] Abrams P,Cardozo L,Wagg A,et al.Incontinence[M]. 6th ed. Bristol UK: International Continence Society, 2017:1096-1177.
[15] Panicker JN, Fowler CJ, Kessler TM.Lower Urinary Tract Dysfunction in the Neurological Patient: Clinical Assessment and Management[J].Lancet Neurol,2015,14(7):720-732. DOI:10.1016/S1474-4422(15)00070-8.
[16] Madersbacher H.The Various Types of Neurogenic Bladder Dysfunction: An Update of Current Therapeutic Concepts[J]. Paraplegia, 1990, 28(4):217-229.DOI:10.1038/sc.1990.28.
[17] Brillhart B.Studying the Quality of Life and Life Satisfaction Among Persons with Spinal Cord Injury Undergoing Urinary Management[J]. Rehabil Nurs, 2004,29(4):122-126.DOI:10.1002/j.2048-7940.2004.tb00328.x.
[18] Oh SJ,Shin HI,Paik NJ,et al.Depressive Symptoms of Patients Using Clean Intermittent Catheterization for Neurogenic Bladder Secondary to Spinal Cord Injury[J]. Spinal Cord, 2006, 44(12):757-762. DOI:10.1038/sj.sc.3101903.
[19] Piatt JA, Nagata S, Zahl M, et al.Problematic Secondary Health Conditions Among Adults with Spinal Cord Injury and Its Impact on Social Participation and Daily Life[J]. J Spinal Cord Med, 2016,39(6):693-698.DOI:10.1080/10790268.2015.1123845.
[20] Rufin SD, Jousse M, Verollet D,et al.Cold Perception of the Bladder During Ice Water Test Study on 120 Patients[J]. Ann Phys Rehabil Med, 2010, 53(9):559-567.DOI:10.1016/j.rehab.2010.08.031.
[21] Wachter SD, Van Meel TD, Wyndaele JJ.Study of the Afferent Nervous System and Its Evaluation in Women with Impaired Detrusor Contractility Treated with Bethanechol[J]. Urology, 2003, 62(1):54-58. DOI:10.1016/s0090-4295(03)00246-2.
[22] Sangeeta TM, Mary PF, Kimberly K,et al.Concentric Needle Electrodes Are Superior to Perineal Surface-patch Electrodes for Electromyographic Documentation of Urethral Sphincter Relaxation During Voiding[J].BJU Int, 2006, 97(1):117-120. DOI:10.1111/j.1464-410X.2006.05890.x.
[23] Stephanie CK, Martina DL, Stéphanie van der L,et al. Sensory Evoked Cortical Potentials of the Lower Urinary Tract in Healthy Men[J]. Neurourol Urodyn,2018,37(8):2614-2624. DOI:10.1002/nau.23600.
[24] Hudson E,Murahata RI.The ‘No-touch' Method of Intermittent Urinary Catheter Insertion: Can It Reduce the Risk of Bacteria Entering the Bladder?[J].Spinal Cord, 2005, 43(10):611-614. DOI:10.1038/sj.sc.3101760.
[1] 杜易梅, 刘莉, 郭立丽, 卢吉, 付苗苗, 刘杰. 妇科恶性肿瘤患者性健康研究进展[J]. 护理学报, 2025, 32(4): 28-33.
[2] 蔡莹莹, 凌晨, 刘绵珠, 周杰, 张俊峰, 陈连华, 田潇飞, 罗斌, 陈梦云. 成人癌痛评估与管理指南的方法学质量评价[J]. 护理学报, 2025, 32(4): 34-40.
[3] 李垚, 陈小敏, 夏敏, 吴茜, 张琳, 陈叡喆, 葛莉丽, 吴逸梅. 肿瘤患者衰弱评估工具应用的范围综述[J]. 护理学报, 2025, 32(4): 48-52.
[4] 刘璐, 朱钰, 曹义, 张华, 彭玉娜. 腹腔热灌注化疗患者术中实施不同目标体温管理的效果观察[J]. 护理学报, 2025, 32(4): 59-63.
[5] 李疆伟, 王树君, 李长仔, 胡宝山, 焦桂梅, 张卫红. 基于压力应对理论的护理干预对结直肠癌术后永久性肠造口患者心理压力、负性情绪及自我管理的影响[J]. 护理学报, 2025, 32(4): 64-69.
[6] 马小兰, 徐维昉. 基于症状管理理论的冰水喷雾对胸腔镜下肺叶切除术口渴患者的应用效果[J]. 护理学报, 2025, 32(4): 70-73.
[7] 吴超瑜, 刘尚昆. 麻醉恢复室护士危机管理能力的质性研究[J]. 护理学报, 2025, 32(3): 17-21.
[8] 陈恩琳, 莫丰菱, 庄泽明, 张明哲, 周佳坤, 黄丽芳, 纪龙飞, 张莉芳. 脑卒中单侧空间忽略评估工具的范围综述[J]. 护理学报, 2025, 32(3): 43-49.
[9] 李若雨, 刘鑫, 林萍, 陈丹, 林桦. 出院患者用药安全管理的最佳证据总结[J]. 护理学报, 2025, 32(3): 50-55.
[10] 杨蓓, 叶红芳, 张宁, 相卢伟, 路诗雨. 老年2型糖尿病患者体力活动现状及影响因素研究[J]. 护理学报, 2025, 32(2): 7-12.
[11] 朱天顺, 朱可可, 薛会元, 焦聪聪, 魏长慧, 王贺. 信息框架效应理论在健康管理领域应用的范围综述[J]. 护理学报, 2025, 32(2): 44-49.
[12] 刘硕怡, 熊莉娟, 李凌, 王玉梅, 何嘉, 李鑫, 袁淑蕾, 郭雪琴, 王暘婧, 张慧娟. 老年住院患者衰弱预防及管理临床实践指南的质量评价及内容分析[J]. 护理学报, 2025, 32(2): 50-55.
[13] 陈燕华, 冯梅, 胡佩欣. 粤港联合个案管理师临床实践培训体验的质性研究[J]. 护理学报, 2025, 32(1): 24-28.
[14] 全伊萍, 陈霞, 胡琼丹. 脑心健康管理师核心胜任力评价指标体系的构建[J]. 护理学报, 2024, 31(9): 5-9.
[15] 李丁丁, 王帅有, 朱杉杉, 郭鑫, 张会敏, 王宏茹, 潘勤. 脑卒中患者支持性照护需求评估工具的范围综述[J]. 护理学报, 2024, 31(9): 48-53.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!