| 郑锦娟,周咏梅.社会办医疗机构临床护士对脑卒中后神经源性膀胱认知与管理现状的调查研究[J].上海护理,2025,25(8): |
| 社会办医疗机构临床护士对脑卒中后神经源性膀胱认知与管理现状的调查研究 |
| Investigation and study of clinical nurse in social medical institution on the current status of cognition and management of neurogenic bladder after stroke |
| 投稿时间：2025-03-25 修订日期：2025-07-28 |
| DOI： |
| 中文关键词: 社会办医 脑卒中后 神经源性膀胱 认知度 管理现状 调查 |
| 英文关键词:social medical institutions, Post-stroke,?Neurogenic?bladder,?Knowledge?level,? Management?status,?Investigation |
| 基金项目:上海市护理学会2023年度学会级立项课题(2023MS-B04) |
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| 中文摘要: |
| 目的 探究社会办医疗机构临床护士对脑卒中后神经源性膀胱认知与临床管理现状，分析其主要影响因素。方法 基于国内外相关指南和专家共识，先通过文献分析构建临床护士对脑卒中后神经源性膀胱认知与临床管理现状的调查问卷初稿；后采用专家会议法对问卷初稿进行修订和完善，最终形成包含3个部分的终稿。再采取便利抽样法对社会办医疗机构9所医院913名临床护士进行调查， 采用SPSS 25.0和R Studio软件进行统计分析。结果 不同性质医院、是否接受培训有统计学意义（P＜0.05）。结论 社会办医疗机构临床护士对脑卒中后神经源性膀胱认知与临床管理中，专业知识掌握不足与指南实践差距显著、核心技术应用欠缺与规范执行不力、 影响因素多元，且尚未开展脑卒中后神经源性膀胱康复管理多团队合作模式，缺乏规范的脑卒中后神经源性膀胱快速康复护理方案。因此，社会办医疗机构应加强临床护士对脑卒中后神经源性膀胱的相关知识培训，完善专科护理培训及临床管理，为改善脑卒中后神经源性膀胱患者的护理实践提供循证依据。 |
| 英文摘要: |
| Objective :To explore the current status of clinical nurses' cognition and clinical management of post-stroke neurogenic bladder in social-run medical institutions, and to analyze its main influencing factors. Methods :Based on the relevant guidelines and expert consensus at home and abroad, the first draft of the questionnaire on clinical nurses' knowledge and clinical management of neurogenic bladder after stroke was constructed through literature analysis; then the first draft of the questionnaire was revised and improved by the method of expert meeting, and the final draft containing 3 parts was formed. A convenience sampling method was used to survey 913 clinical nurses in 9 hospitals of social medical institutions, and the survey was statistically analyzed using SPSS 25.0 and R Studio software. Results :There was a statistically significant difference between hospitals of different nature and whether or not they had received training (P < 0.05). Conclusion :The knowledge and clinical management of post-stroke neurogenic bladder by clinical nurses in social medical institutions are characterized by insufficient professional knowledge and significant gaps in guideline practice, lack of application of core technologies and poor implementation of norms, multiple influencing factors, a multi-team model of post-stroke neurogenic bladder rehabilitation management, and a lack of standardized post-stroke neurogenic bladder rapid rehabilitation nursing program. Therefore, social healthcare organizations should strengthen the training of clinical nurses about post-stroke neurogenic bladder, improve the training of specialized nursing care and clinical management, and provide an evidence-based basis for improving the nursing practice of post-stroke neurogenic bladder patients. |
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