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배뇨중재 프로그램이 뇌졸중 재활대상자의 잔뇨량, 도뇨횟수, 배뇨불편감, 요로감염에 미치는 효과

The Effect of Urinary Elimination Facilitation Program for Stroke Patients During Rehabilitation: Residual Urine, the Number of Urinary Catheterization, Urinary Discomfort, and Urinary Tract Infections

  • Song, Young Ae (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Lee, Jung Hee (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Jung, Ji Young (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Kim, Nan Ji (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Yang, Yi Eun (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Shin, Chae Won (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Cho, Moon Suk (Department of Nursing, Seoul National University Bundang Hospital)
  • 투고 : 2016.05.31
  • 심사 : 2016.06.24
  • 발행 : 2016.08.31

초록

Purpose: The aims of this study were to develop and apply the urinary elimination facilitation program for stroke patients with urinary disorders and evaluate the effectiveness of the program. Methods: This study was conducted using the non-equivalent control group pre- posttest design. The participants included 23 patients in the control group and 22 in the experimental group. Data were collected from Nov. 25, 2013 to Nov. 25, 2014 in acute rehabilitation inpatient wards. For the final analysis, 35 patients' data were utilized 17 in the control group and 18 in the experimental group. The developed urinary elimination facilitation program was continued for 7 days and the program consisted of logging urination, monitoring timely voiding, assisting urinary elimination, and stimulating urination using sound. The data were analyized using the SPSS-win (version 21). Results: The number of urinary catheterization and the urinary discomfort were significantly improved in the experimental group compared to the control group. However residual urine and the occurrence of urinary tract infections were not significantly different between the experimental and control groups. Conclusion: The results of this study indicated that the urinary elimination intervention program for stroke patients with urination disorder could be useful in decreasing the number of urinary catheterization and the urinary discomfort.

키워드

참고문헌

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