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慢性脊髓損傷患者泌尿問題調查

A Survey of Urological Problems of Chronic Spinal Cord Injuries

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摘要


慢性脊髓損傷者日常生活的困擾以泌尿方面的問題為最多。本研究的目的是評估脊髓損傷者在泌尿方面有關問題及困擾的概況,以提供醫政及醫療之參考,並尋求解決的方法。本研究對全省北,中,南,東各區患者共發出835份問卷,回收有效問卷為403份回收率48.26%),年齡在14至71歲之間平均37.4±10.7歲),男性343位、女性60位,受傷時間至少六個月以上,其中89.8%為受傷一年以上。問卷內容包含基本資料.脊髓損傷狀況及泌尿相關問題。結果發現1)泌尿方面的困擾以失禁滲尿最多60.5%),其次為解不乾淨50.1%);2)有46.1%的病患認為泌尿問題己達困擾日常生活的程度;3)有24.3%的病患可以用正常的方式解尿;4)32.3%的患者需要他人協助才能完成解尿;5)解尿姿勢以坐姿最多56.3%)。以脊髓損傷狀況來看,排尿的能力和殘存的運動功能有關。

關鍵字

脊髓損傷 泌尿問題

並列摘要


A survey of urological problems in island-wide chronic spinal cord injuries was done by questionnaires and telephone from December 1992 to June 1993. Four hundred and three responses (48.26% of total samples) were collected for data analysis. There were 343 males and 60 females in this study. Their ages ranged from 14 to 71 years old with the mean age 37.4±10.7years old. About 89.8% of the subjects ad had spinal cord injury for more than one year. The content of questionnaire in chronic spinal cord injured was urinary incontinence (60.5 %); (2) 46.1 % had troubles in daily life related to urological problems;(3) 24.3% were able to void with normal pattern;(4) 56.3% voided by sitting postion and 32.3% needed help to perform voiding. The conclusion was that voiding ability was related to reserved motor function after injury.

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