以质量求发展,以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (22): 61-66.doi: 10.16460/j.issn1008-9969.2024.22.061

Previous Articles     Next Articles

Construction of symptom management theory-based self-management intervention scheme for neurogenic bladder patients

LI Xiao-mei1,2, TAO Ming2,3, LI Qian-Qian1, LI Lin-lin1, LI Chun1   

  1. 1. Suining Central Hospital, Suining 629000, China;
    2. School of Nursing, Zunyi Medical University, Zunyi 563000, China;
    3. Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China
  • Received:2024-06-20 Online:2024-11-25 Published:2024-12-04

Abstract: Objective To construction a symptom management theory-based self-management intervention scheme for patients with neurogenic bladder (NGB), and to provide reference for the self-management of patients with NGB. Methods Through literature review, a self-management intervention scheme for patients with NGB based on symptom management theory was developed, and 15 experts were invited to carry out 2 rounds of Delphi expert consultation for further revision of the scheme. Results The expert enthusiasm of the two rounds of correspondence was 100%, and the expert authority coefficient (Cr) 0.852. The final scheme consisted of 3 first-level, 16 second-level, and 37 third-level indicators. The importance score of each item was 4.20~4.93; the coefficient of variation 0.052~0.207, and the expert Kendall harmony coefficient(W) 0.118 (P<0.001). Conclusion The self-management intervention scheme for patients with NGB based on symptom management theory is reliable and scientific, and can provide reference for patients' self-management in clinical practice.

Key words: neurogenic bladder, self-management, intermittent catheterization, Delphi method

CLC Number: 

  • R473.74
[1] 周君桂, 周民, 庞凡, 等. 广东地区神经源性膀胱康复护理管理及间歇导尿临床应用现况调查[J]. 中国康复理论与实践, 2021, 27(10):1233-1240.DOI:10.3969/j.issn.1006-9771.2021.10.015.
[2] 龚德, 王颖敏, 钟丽容, 等. 神经源性膀胱功能障碍评估与管理相关指南的整合研究[J]. 护理学报, 2021,28(3):27-33.DOI:10.16460/j.issn1008-9969.2021.03.027.
[3] Showen A, Copp HL, Allen IE, et al.Characteristics associated with depression, anxiety, and social isolation in adults with spina bifida[J]. Urology,2021,149:255-262. DOI:https://doi.org/10.1016/j.urology.2020.11.016.
[4] 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]. Canadian Urological Association Journal, 2019,13(6):E157-E176.DOI:10.5489/cuaj.5912.
[5] Ginsberg DA, Boone TB, Cameron AP, et al.The AUA/SUFU guideline on adult neurogenic lower urinary tract dysfunction: diagnosis and evaluation[J]. J Urol, 2021,206(5):1097-1105.DOI:10.1097/JU.0000000000002235.
[6] Blok BF,Castro-Diaz D,Del Popolo G, et al. EAU guidelines on neuro-urology:European Association of Urology[EB/OL].(2022-03-05)[2022-07-05].https://uroweb.org/guidelines/neuro-urology.
[7] Sekido N, Igawa Y, Kakizaki H, et al.Clinical guidelines for the diagnosis and treatment of lower urinary tract dysfunction in patients with spinal cord injury[J]. Int J Urol, 2020,27(4):276-288.DOI:10.1111/iju.14186.
[8] Böthig R, Domurath B, Kaufmann A, et al.Neuro-urological diagnosis and therapy of lower urinary tract dysfunction in patients with spinal cord injury[J]. Der Urologe, 2017,56(6):785-792.DOI:10.1007/s00120-017-0354-z.
[9] 蔡文智, 孟玲, 李秀云. 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.DOI:10.3870/j.issn.1001-4152.2017.24.001.
[10] Tate DG, Wheeler T, Lane GI, et al.Recommendations for evaluation of neurogenic bladder and bowel dysfunction after spinal cord injury and/or disease[J].J Spinal Cord Med, 2020,43(2):141-164.DOI:10.1080/10790268.2019.1706033.
[11] 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.DOI:10.3969/j.issn.1673-5765.2016.12.013.
[12] 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]. Spinal Cord, 2019,57(7):540-549.DOI:10.1038/s41393-019-0278-0.
[13] 陈珊珊, 贾勤, 林根芳, 等. 神经源性膀胱患者膀胱管理体验质性研究的Meta整合[J]. 护理管理杂志, 2021,21(10):735-740.DOI:10.3969/j.issn.1671-315x.2021.10.011.
[14] 胡燕, 王富兰. 根治性子宫切除术后病人膀胱管理的最佳证据总结[J]. 护理研究, 2021,35(10):1726-1731.DOI:10.12102/j.issn.1009-6493.2021.10.005.
[15] 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(5):67-70.DOI:10.3969/j.issn.1008-9993.2021.05.018.
[16] 胡英杰, 陈玲, 陈晓敏, 等. 神经源性膀胱上尿路损害风险管理的最佳证据总结[J].护理研究, 2019,33(14):2367-2373.DOI:10.12102/j.issn.1009-6493.2019.14.001.
[17] 叶丽, 黄厚强, 郭声敏, 等. 脑卒中后神经源性膀胱管理的最佳证据总结[J]. 护理学报, 2021,28(10):40-44.DOI:10.16460/j.issn1008-9969.2021.10.040.
[18] Truzzi JC, de Almeida FG, Sacomani CA, et al. Neurogenic bladder - concepts and treatment recommendations[J]. Int Braz J Urol, 2022, 48(2):220-243. DOI:10.1590/S1677-5538.IBJU.2021.0098.
[19] Tractenberg RE, Frost JK, Yumoto F, et al.Reliability of the Urinary Symptom Questionnaires for people with neurogenic bladder (USQNB) who void or use indwelling catheters[J].Spinal Cord,2021,59(9):939-947.DOI:10.1038/s41393-021-00665-x.
[1] WEN Min, CHEN Bing, ZHOU Yong-ling, LIU Juan, ZHU Xiao-dan. Construction of joint intervention program of cognitive remediation based on mobile health APP for schizophrenia patients [J]. Journal of Nursing, 2024, 31(9): 1-4.
[2] QUAN Yi-ping, CHEN Xia, HU Qiong-dan. Construction of core competency evaluation index system for heart-brain health managers [J]. Journal of Nursing, 2024, 31(9): 5-9.
[3] YE Xiang, LI Kai, HUANG Min, ZHANG Qian, LI Ji-min, LIU Rong-zhen, MENG Min, ZHU Shao-yu, XIE Cui-hua. Mobile APP plus family management of blood glucose for adult patients with type 2 diabetes [J]. Journal of Nursing, 2024, 31(9): 60-65.
[4] CHEN Rui, WANG Mei, TANG Xiao-xia, ZHU Ao-xue, MAO Hui-na. Construction of nursing need protocol for cancer patients receiving immune checkpoint inhibitor therapy based on ERG theory [J]. Journal of Nursing, 2024, 31(7): 1-5.
[5] LI Ai-qun, LI Li-hua, WANG Fang, JIANG Yuan-yuan, CAI Yi-min. Mediating effects of chronic disease resource utilization between self-transcendence and self-management behaviors in coronary artery disease patients after PCI [J]. Journal of Nursing, 2024, 31(6): 13-17.
[6] GUAN Ya-ping, ZHENG Wei-liang, SUN Li-jun, CHEN Yuan, DING Jie-ying, XU Jia-jia. Construction of four-level nurse-led early mobilization program for patients after open heart surgery [J]. Journal of Nursing, 2024, 31(22): 67-72.
[7] DING Li-na, YAO Zhuo-ya, GENG Jun-hui, LI Man-chun, ZHAN Meng, YIN Yue, WANG Jun-feng, YU Li-ying. Construction of quality evaluation index system for hydrogen peroxide low-temperature plasma sterilization in hospitals [J]. Journal of Nursing, 2024, 31(20): 60-66.
[8] ZHANG Guo-chun, LI Hai-yun, CHU Liang-liang, CHENG Xue, WANG Jun-zhi. Development of Knowledge, Belief and Practice Scale for perinatal palliative care of obstetric nurses and its reliability and validity [J]. Journal of Nursing, 2024, 31(2): 6-11.
[9] ZOU Zhao-hua, QINGN Wei, ZHU Mao-cai, ZHANG Ji-quan, YI Zi-han, HU Xiu. Construction of nursing quality-sensitive indicator system for continuous renal replacement therapy [J]. Journal of Nursing, 2024, 31(2): 70-74.
[10] LUO Duo-lin, YANG Chun-qing, GAO Ping, HU Qing-wen, XU Xiao-qun. Localization of type 2 diabetes distress assessment system and its reliability and validity [J]. Journal of Nursing, 2024, 31(19): 24-30.
[11] ZHANG Li, LI Fu-hua, GU Xiao-gai, HAO Na, WANG Dan-dan, GUAN Mei-qi. Construction of training program for nurse specialist of inflammatory bowel disease [J]. Journal of Nursing, 2024, 31(19): 31-36.
[12] LIU Yu-wei, ZHANG Pei-li, HOU Xiao-ya, GAO Chao-yue. Construction of multi-level training path for candidates of master of nursing specialist: a healthy aging perspective [J]. Journal of Nursing, 2024, 31(19): 37-41.
[13] ZHANG Yi-ran, WANG Kang-mei, ZHU Sheng-cai, ZHU Lu, HUANG Yi. COSMIN guideline-based systematic review of Chinese version of self-management assessment tool for hypertension patients [J]. Journal of Nursing, 2024, 31(19): 52-57.
[14] GUAN Yan, CHEN Chen, SU Yun-yan, JIN Hua, XIE Xiao-li, HU Yue-xiu, WANG Zhe-yun. Construction of training program for cardiac surgery nurse specialists based on Taylor model [J]. Journal of Nursing, 2024, 31(18): 67-72.
[15] HUANG Mei-hua, ZHANG Zhuan-yun, ZHUANG Shan-shan, WANG Qing, ZHANG Ruo-cui, HUA Wei. Construction of quality index system for nursing management in nerve block room [J]. Journal of Nursing, 2024, 31(15): 7-11.
Viewed
Full text


Abstract

Cited

  Shared   
[1] ZHANG Yu-jie, Li Xiaojin, Wu Jinyan, DENG Shi-si, GUO Zi-han, Wu Yanni. Evidence summary development process in Joanna Briggs Institute evidence-based healthcare centre: elaboration and explanation[J]. Journal of Nursing, 2024, 31(16): 39 -43 .
[2] YANG Zhong-shan, ZHANG Li-hua, XU Ni-na, ZHAN Yu-xin, OU Yang-yan, WANG Xian-ke, LIU Miao, LI Peng-fei. Quality evaluation and content analysis of nursing guidelines for neurogenic bowel dysfunction after spinal cord injury[J]. Journal of Nursing, 2024, 31(16): 44 -49 .
[3] . [J]. Journal of Nursing, 2024, 31(16): 50 -55 .
[4] ZHANG Huang-xia, LI Zhuang-miao, LUO Wen-nan, LI Xiu-xia, HUANG Hui-xiang, LIN Ying-xin. Effect of sizi powder jiaozhen yuan-primary points application on hemiplegic shoulder pain in post-stroke patients[J]. Journal of Nursing, 2024, 31(20): 1 -7 .
[5] . [J]. Journal of Nursing, 2024, 31(22): 1 -6 .
[6] . [J]. Journal of Nursing, 2024, 31(22): 7 -11 .
[7] YIN Xiao-meng, GUO Xiao-qing, CHENG Cong, LIU Hai-tao, SUN Xiu-jie. Construction of whole-process smart transfusion management model based on blood bank forward and its clinical practice[J]. Journal of Nursing, 2024, 31(22): 12 -16 .
[8] WANG Li, FU A-dan, YANG Meng-ying, XU Miao-miao, HUANG Pan-pan. Establishment and practice of nursing research outpatient clinic[J]. Journal of Nursing, 2024, 31(22): 17 -21 .
[9] . [J]. Journal of Nursing, 2024, 31(22): 22 -25 .
[10] . [J]. Journal of Nursing, 2024, 31(22): 26 -29 .