A study on the impact of personalized preset rehabilitation nursing plans on intestinal function, psychologicalresilience, and quality of life in patients with neurogenic intestinal dysfunction（NBD）caused by high spinal cordinjury （SCI）
个体化预设康复护理方案对高位脊髓损伤（SCI）致神经源性肠道功能障碍（NBD）患者肠道功能、心理弹性及生活质量的影响研究

摘要

目的 探究高位脊髓损伤（SCI）致神经源性肠道功能障碍（NBD）病人开展个体化预设康复护理方 案的价值。方法 筛选本院 2022 年 4 月至 2023 年 4 月医治高位 SCI 致 NBD 患者，所有 76 例随机分为两组，每 组 38 例。对照组实施常规护理，观察组实施个体化预设康复护理方案。对两组肠道功能、情绪状态、心理弹性 及生活质量进行评价。结果 观察组治疗后神经源性肠道综合征评价表、焦虑自评量表（SAS）、抑郁自评量表 （SDS）得分较对照组下降，心理弹性量表（CD-RISC）、健康调查简表（SF-36）得分较对照组增加（P＜0.05）。 结论 高位 SCI 致 NBD 患者接受个体化预设康复护理方案，能明显减轻肠道功能障碍及负面情绪，增强心理弹性， 促进生活质量提升。

Abstract

Objective To explore the value of individualized preset rehabilitation nursing plan for patients with neurogenic intestinal dysfunction (NBD) caused by high spinal cord injury (SCI).
Methods All 76 patients with high SCI induced NBD treated in our hospital from April 2022 to April 2023 were randomly divided into two groups with 38 cases in each group. The control group received routine nursing, and the observation group received individualized preset rehabilitation nursing program. Intestinal function, emotional state, mental resilience and quality of life of the two groups were evaluated.
Results After treatment, the scores of neurogenic intestinal syndrome assessment scale, self-rating Anxiety Scale (SAS) and self-rating Depression Scale (SDS) in observation group decreased compared with control group, and the scores of mental resilience Scale (CD-RISC) and Health Survey Brief Form (SF-36) increased in observation group compared with control group (P<0.05).
Conclusion   High SCI induced NBD patients to receive individualized preset rehabilitation nursing program, can significantly reduce intestinal dysfunction and negative emotions, enhance mental resilience, and promote the improvement of quality of life.