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
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목적: 본 연구의 목적은 배뇨장애가 동반된 뇌졸중 재활 입원환자에게 적극적인 자연배뇨를 돕기 위한 배뇨중재 프로그램을 개발하여 시행한 후 잔뇨량, 도뇨 횟수, 배뇨 불편감, 요로감염에 미치는 효과를 확인하는 것이다. 방법: 본 연구는 비동등성 대조군 전후 시차 설계의 유사 실험 연구이다. 연구 대상자는 대조군 23명, 실험군 22명으로 하였다. 2013년 11월 25일부터 2014년 11월 25일까지 자료를 수집하였으며 최종 연구 대상자는 대조군 17명, 실험군 18명인 총 35명이었다. 실험군에는 배뇨기록지 사용, 일정한 시간간격(4∼6시간) 배뇨 확인, 침상 내 좌식변기를 사용하여 앉은 자세에서 배뇨 돕기, 물소리를 활용한 배뇨자극 요법을 포함한 배뇨중재가 7일간 제공되었다. 수집된 자료는 SPSS-win(version 21)을 이용하여 분석하였다. 결과: 프로그램 시행 후 도뇨 횟수와 배뇨 불편감은 실험군이 대조군에 비해 향상되었고, 잔뇨량과 요로감염은 실험군과 대조군에게 큰 차이가 없었다. 결론: 본 연구에서 시도한 배뇨중재 프로그램은 배뇨장애를 가진 뇌졸중 환자의 도뇨 횟수와 배뇨 불편감을 감소시키는데 효과가 있다고 할 수 있을 것이다.
Abstract
Purpose: The aims of this studywere 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
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