Volume 23 Issue 12
Dec.  2025
Turn off MathJax
Article Contents
CHEN Yanyan, LIU Xiaoli, TAO Aiping, JIA Man, PAN Sensen, WANG Chenggui. The application of the teach-back education model in clean intermittent catheterization for patients with neurogenic bladder[J]. Chinese Journal of General Practice, 2025, 23(12): 2162-2166. doi: 10.16766/j.cnki.issn.1674-4152.004315
Citation: CHEN Yanyan, LIU Xiaoli, TAO Aiping, JIA Man, PAN Sensen, WANG Chenggui. The application of the teach-back education model in clean intermittent catheterization for patients with neurogenic bladder[J]. Chinese Journal of General Practice, 2025, 23(12): 2162-2166. doi: 10.16766/j.cnki.issn.1674-4152.004315

The application of the teach-back education model in clean intermittent catheterization for patients with neurogenic bladder

doi: 10.16766/j.cnki.issn.1674-4152.004315
Funds:

 LY23H060006

 Y20240486

  • Received Date: 2025-07-14
    Available Online: 2026-03-13
  •   Objective  To explore the application effect of the teach-back education model in clean intermittent catheterization for patients with neurogenic bladder. Analyzes its influence on bladder function, satisfaction, and compliance of patients with neurogenic bladder after spinal cord injury, and provides a reference for formulating rehabilitation plans for patients.  Methods  By using the convenience sampling method, 80 patients with neurogenic bladder after spinal cord injury in the Second Affiliated Hospital of Wenzhou Medical University from June 2023 to June 2025 were selected as the research subjects. The patients were ranked and numbered according to the order of their visit. The 80 patients were divided into the control group and the intervention group according to the random number table, with 40 patients in each group. The control group was given conventional CIC education, while the intervention group, on the basis of conventional care, carried out a teach-back educational intervention based on smart nursing. The bladder function, satisfaction, and compliance of the two groups of patients were compared.  Results  The bladder capacity of patients with neurogenic bladder who received the teach-back education model intervention was (327.64±25.44) mL, which was higher than that of the control group (299.07±24.72) mL, the residual urine volume of the bladder was (102.05±9.04) mL, which was lower than that of the control group (110.25±9.16) mL, and the incidence of urinary tract infection was 2.50% (1/40), which was lower than that of the control group (15.00%, 6/40). The differences were statistically significant (P < 0.05). The total score of satisfaction and the scores of each dimension were all higher than those of the control group, and the differences were statistically significant (P < 0.05). The compliance was higher than that of the control group, and the difference was statistically significant (P < 0.05).  Conclusion  The application of the teach-back education model in clean intermittent catheterization for patients with neurogenic bladder can effectively improve the bladder function of patients, reduce the infection rate of the urinary system, increase patient satisfaction and compliance, and can be promoted and used in clinical practice.

     

  • loading
  • [1]
    黄晓琳, 燕铁斌. 康复医学[M]. 6版. 北京: 人民卫生出版社, 2020: 285-287.

    HUANG X L, YAN T B. Rehabilitation medicine (6th edition)[M]. Beijing: People' s Medical Publishing House, 2020: 285-287.
    [2]
    中华医学会小儿外科学分会小儿尿动力和盆底学组. 儿童清洁间歇导尿术中国专家共识[J]. 中华医学杂志, 2022, 102(34): 2669-2678.

    Pediatric Urodynamics and Pelvic Floor Group of the Pediatric Surgery Branch of the Chinese Medical Association. Chinese expert consensus on clean intermittent catheterization in children[J]. National Medical Journal of China, 2022, 102(34): 2669-2678.
    [3]
    陈潮江, 刘振飞, 曾翔宇, 等. 合并COPD的BPH患者尿流动力学特征研究[J]. 新医学, 2023, 54(2): 132-135.

    CHEN C H, LIU Z F, ZENG X Y, et al. Study on the urodynamic characteristics of patients with BPH and comorbid COPD[J]. Journal of New Medicine, 2023, 54(2): 132-135.
    [4]
    CRESCENZE I M, MYERS J B, LENHERR S M, et al. Predictors of low urinary quality of life in spinal cord injury patients on clean intermittent catheterization[J]. Neurourol Urodyn, 2019, 38(5): 1332-1338. doi: 10.1002/nau.23983
    [5]
    陈玲, 胡英杰, 陈晓敏, 等. 神经源性膀胱病人自我清洁间歇导尿知识、态度、行为量表的编制及信效度检验[J]. 护理研究, 2021, 35(2): 210-215.

    CHEN L, HU Y J, CHEN X M, et al. Compilation and reliability and validity test of clean intermittent self-catheterization of knowledge, attitude, practice scale of patients with neurogenic bladder[J]. Chinese Nursing Research, 2021, 35(2): 210-215.
    [6]
    蔡娜, 沈姜津, 陈朝显. 系统性延续护理对间歇导尿患者依从性和自我护理能力的影响研究[J]. 现代医药卫生, 2021, 37(7): 1218-1220.

    CAI N, SHEN J J, CHEN C X. Study on the impact of systematic continuation care on the compliance and self-care ability of patients undergoing intermittent catheterization[J]. Journal of Modern Medicine & Health, 2021, 37(7): 1218-1220.
    [7]
    董江丽, 周群, 何志巍, 等. 运用"翻转课堂"教学法推动教与学系统性改革[J]. 中国高等教育, 2022(9): 56-58.

    DONG J L, ZHOU Q, HE Z W, et al. Applying the "flipped classroom" teaching method to promote systematic reforms in teaching and learning[J]. China Higher Education, 2022(9): 56-58.
    [8]
    陈艳华, 张凯. 基于共词聚类的我国翻转课堂研究热点领域分析[J]. 黑龙江教师发展学院学报, 2022, 41(5): 34-38.

    CHEN Y H, ZHANG K. Analysis of research hotspots in China' s flipped classroom based on co-occurrence clustering[J]. Journal of Heilongjiang College of Education, 2022, 41(5): 34-38.
    [9]
    ROBERTS T T, LEONARD G R, CEPELA D J. Classifications in brief: American spinal injury association (ASIA) impairment scale[J]. Clin Orthop Relat Res, 2017, 475(5): 1499-1504. doi: 10.1007/s11999-016-5133-4
    [10]
    AMARENCO G, SHEIKH ISMAËL S, CHESNEL C, et al. Diagnosis and clinical evaluation of neurogenic bladder[J]. Eur J Phys Rehabil Med, 2017, 53(6): 975-980.
    [11]
    GUINET-LACOSTE A, CHARLANES A, CHESNEL C, et al. Intermittent catheterization adherence scale (ICAS): a new tool for the evaluation of patient adherence with clean intermittent self-catheterization[J]. Neurourol Urodyn, 2018, 37(8): 2753-2757. doi: 10.1002/nau.23746
    [12]
    陈文琼, 丁小英, 马霞, 等. 路径化健康教育在神经源性膀胱患者间歇导尿自我护理中的应用[J]. 护理实践与研究, 2017, 14(13): 40-42.

    CHEN W Q, DING X Y, MA X, et al. Pathway-based health education in the self-care of intermittent catheterization for patients with neurogenic bladder[J]. Nursing Practice and Research, 2017, 14(13): 40-42.
    [13]
    郑芝, 邬真, 颜林志, 等. 间歇导尿法联合盆底肌康复训练在宫颈癌患者术后康复中的应用[J]. 中华全科医学, 2023, 21(4): 713-716. doi: 10.16766/j.cnki.issn.1674-4152.002966

    ZHENG Z, WU Z, YAN L Z, et al. Effect catheterization combined with pelvic floor muscle rehabilitation training on postoperative rehabilitation in patients with cervical cancer[J]. Chinese Journal of General Practice, 2023, 21(4): 713-716. doi: 10.16766/j.cnki.issn.1674-4152.002966
    [14]
    赵明格, 封海霞. 脊髓损伤伴神经源性膀胱患者居家康复需求的质性研究[J]. 现代医学, 2022, 50(4): 500-505.

    ZHAO M G, FENG H X. A qualitative study on the rehabilitation needs of patients with spinal cord injury and neurogenic bladder at home[J]. Modern Medical Journal, 2022, 50(4): 500-505.
    [15]
    LEE S R, LEE I S, OH S J, et al. Adherence to the clean intermittent catheterization following a customized intensive education program for patients with emptying failure[J]. J Korean Acad Community Health Nurs, 2018, 29(4): 467. DOI: 10.12799/jkachn.2018.29.4.467.
    [16]
    刘奕彤. 基于膀胱容量压力测定结果的间歇性导尿护理在老年神经源性膀胱患者中的应用效果[J]. 中国社区医师, 2024, 26(30): 140-142.

    LIU Y T. Application effect of intermittent catheterization nursing based on bladder volume-pressure measurement results in elderly patients with neurogenic bladder[J]. Chinese Community Doctors, 2024, 40(30): 140-142.
    [17]
    NEWMAN D K. Teaching tool: intermittent self-catheterization patient education checklist[J]. Urol Nurs, 2021, 41(2): 97. DOI: 10.7257/1053-816x.2021.41.2.97.
    [18]
    龚嫚, 刘红. 基于知信行模式的3H护理结合自我清洁间歇导尿术对前列腺电切术后尿潴留患者膀胱功能及健康行为的影响[J]. 临床医学研究与实践, 2023, 8(5): 129-131.

    GONG M, LIU H. Effects of 3H nursing based on knowledge-attitude-practice model combined with self-cleaning intermittent catheterization on bladder function and health behavior of patients with urinary retention after transurethral resection of prostate[J]. Clinical Research and Practice, 2023, 8(5): 129-131.
    [19]
    沈晓玲, 余小平. 基于清洁间歇导尿术的自我护理对脊髓损伤后神经源性膀胱患者的干预作用[J]. 湖北科技学院学报(医学版), 2020, 34(5): 439-441.

    SHEN X L, YU X P. The intervention effect of self-care based on clean intermittent catheterization on patients with neurogenic bladder after spinal cord injury[J]. Journal of Hubei University of Science and Technology, 2020, 24(5): 439-441.
    [20]
    陈艳玮, 郭瑞萍, 皮睿, 等. 认知行为团体心理干预在脊髓损伤神经源性膀胱患者中的应用[J]. 中国健康心理学杂志, 2024, 32(10): 1496-1501.

    CHEN Y W, GUO R P, PI R, et al. Application of cognitive-behavioral group psychological intervention in patients with neurogenic bladder due to spinal cord injury[J]. China Journal of Health Psychology, 2024, 32(10): 1496-1501.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (20) PDF downloads(0) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return