Application of continuous nursing in discharged patients after percutaneous minimal invasive bladder fistulization

Objective To explore the effect of continuous nursing on patients with spinal cord injury neurogenic bladder who were discharged from the hospital after spercutaneous minimal invasive bladder fistulization. Methods Totally 43 patients with spinal cord injury and underwent percutaneous minimal invasive bladder fistulization were divided into the control group and the observation group by random digital table method, with 23 cases in each group. Patients in the control group received routine nursing, while patients in the observation group received continuous nursing based on the routine nursing. The level of colostomy adaptation and the incidence of complications related to catheter in two groups were observed. Results Six months after nursing intervention, the score of colostomy adaptation level in the observation group was significantly superior to that in the control group (P<0.01); in the intervention group, the incidence of urinary tract infection, skin infection around the stoma; the incidence of complications such as catheter slippage, catheter blockage, catheter breakage, were all lower than that in the control group (P<0.05). Conclusions The continuous nursing intervention can improve the level of colostomy adaptation and reduce the incidence of catheter related complications. Key words: Cystostomy; Spinal cord injury; Continuous nursing