下尿路功能障碍患者智能化尿控标准病房的建设及成效

doi:10.3877/cma.j.issn.1674-3253.2026.01.006

目的

运用智能化膀胱管理系统构建尿控标准化病房，规范化管理下尿路功能障碍患者，提升患者康复效率。

方法

构建小禹膀胱管理系统平台，创建科室医护团队系统，对我院2023年9月至2024年6月从院前到围手术期到出院后的下尿路功能障碍患者使用智能化系统进行患者管理。统计患者依从性、患者满意度、患者生活质量、医师满意度等结果。

结果

共有172名患者注册小禹膀胱管理系统，其中111例（64.53%）完整使用入院前-围手术期-出院后的排尿日记，69例（40.12%）患者完整记录围手术期排尿日记、自由尿流率及膀胱残余尿量等数据，57例（33.14%）患者出院后1个月内完整记录排尿日记，根据推送完成康复训练内容，完成健康教育内容的学习及问卷调查。与未使用管理系统的患者相比，出院后1个月患者满意度及生活质量评分均更高，差异有统计学意义（P<0.05），医师对护理团队的满意度评分由（8.73±1.10）分提升至（9.80±0.42）分，但差异无统计学意义（P>0.05）。

结论

构建的智能化尿控标准病房和患者管理系统，实现了排尿数据的规范化管理，改善了患者的康复训练效果，大大提升了患者的满意度，提升了医护团队之间的默契。

关键词: 下尿路功能障碍, 人工智能, 护理, 膀胱功能, 标准化病房

Objective

Using intelligent bladder management system to build urinary control standardized wards, standardize the management of patients, and improve the efficiency of patients' rehabilitation.

Methods

The Xiaoyu bladder management system platform was constructed and a departmental healthcare team system was created. The intelligent system was used to manage patients with lower urinary tract dysfunction from pre-hospitalization to perioperative period to discharge from September 2023 to June 2024 in our hospital. The results of patient compliance, patient satisfaction, patient quality of life, and physician satisfaction were analyzed.

Results

A total of 172 patients registered the Xiaoyu bladder management system, of which 111 patients (64.53%) used the pre-hospitalization-perioperative-discharge system to record urination diaries. 69 patients (40.12%) used the system to record perioperative urination diary, free urine flow rate and residual urine volume in the bladder. 57 patients (33.14%) used the system to record urination diaries, complete rehabilitation training according to the system push content, and complete health education content learning and questionnaire surveys within 1 month after discharge. Compared to patients without the management system, there were statistically significant improvements in patient satisfaction and quality of life at 1-month post-discharge (P<0.05). Doctors' satisfaction score with the nursing team increased from (8.73±1.10) points to (9.80±0.42) points, the difference was not statistically significant (P>0.05).

Conclusion

The intelligent urinary control standardized ward and patient management system realizes the standardized management of urination data, improves the rehabilitation training effect of patients, greatly improves patient satisfaction, and enhances the tacit understanding between the medical team.

Key words: Lower urinary tract dysfunction, Artificial intelligence, Nursing, Bladder function, Standardize ward

图1 智能膀胱管理系统平台

图2 膀胱管理小程序患者使用流程

图3 下尿路功能障碍患者拔除尿管后规范化管理流程

表1 下尿路功能障碍患者使用膀胱管理系统和未使用系统患者对比（分，

±s）

组别	患者满意度评分	患者生活质量评分
使用系统	9.46±0.76	8.05±1.40
未使用系统	9.13±1.23	6.38±1.88
t值	1.480	4.440
P值	0.017	0.025

表1 下尿路功能障碍患者使用膀胱管理系统和未使用系统患者对比（分，

±s）

组别	患者满意度评分	患者生活质量评分
使用系统	9.46±0.76	8.05±1.40
未使用系统	9.13±1.23	6.38±1.88
t值	1.480	4.440
P值	0.017	0.025

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Construction and effectiveness of intelligent urinary control standardized ward for patients with lower urinary tract dysfunction

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Construction and effectiveness of intelligent urinary control standardized ward for patients with lower urinary tract dysfunction