细节性护理干预对降低妇科手术后留置导尿管致尿路感染率的效果观察
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摘要
目的探讨细节性护理干预对降低妇科手术后留置尿管致尿路感染率的效果。方法选取妇科手术后行尿管留置的患者120例,随机分为观察组和对照组,各60例。对照组采用尿管留置常规护理,观察组在对照组的基础上,给予细节性护理措施。观察2组住院期间尿路感染发生率、非计划拔管率、疼痛视觉模拟评分法(VAS)及护理满意度情况。结果观察组尿路感染率、非计划拔管率、VAS评分显著低于对照组(P<0.05或P<0.01),观察组患者护理满意度显著高于对照组(P<0.05)。结论对妇科手术后留置尿管的患者实施细节性护理干预,能显著降低尿路感染率、促进患者康复。
Objective To investigate the effect of detailed nursing intervention on prevention of urinary tract infection due to indwelling catheter in patients after gynecological operation. Methods A total of 120 patients with treatment of indwelling catheter after gynecological operation were randomly divided into the observation group and the control group,with 60 cases in each group. Both of two groups were given conventional nursing care and the observation group was applied with detailed nursing measures. The incidence of urinary tract infection,rate of unplanned extubation,visual analog scale( VAS) for pain assessment and nursing satisfaction rate was compared between two groups.Results The observation group had a lower incidence of urinary tract infection,lower rate of unplanned extubation and lower VAS scale compared with the control group( P < 0. 05 or P < 0. 01).The nursing satisfaction rate was higher in the observation group than that in the control group( P <0. 05). Conclusion Providing patients with detailed nursing intervention on indwelling catheter technique after gynecological surgery can significantly reduce urinary tract infection and promote physical and psychological rehabilitation.
Objective To investigate the effect of detailed nursing intervention on prevention of urinary tract infection due to indwelling catheter in patients after gynecological operation. Methods A total of 120 patients with treatment of indwelling catheter after gynecological operation were randomly divided into the observation group and the control group,with 60 cases in each group. Both of two groups were given conventional nursing care and the observation group was applied with detailed nursing measures. The incidence of urinary tract infection,rate of unplanned extubation,visual analog scale( VAS) for pain assessment and nursing satisfaction rate was compared between two groups.Results The observation group had a lower incidence of urinary tract infection,lower rate of unplanned extubation and lower VAS scale compared with the control group( P < 0. 05 or P < 0. 01).The nursing satisfaction rate was higher in the observation group than that in the control group( P <0. 05). Conclusion Providing patients with detailed nursing intervention on indwelling catheter technique after gynecological surgery can significantly reduce urinary tract infection and promote physical and psychological rehabilitation.
引文
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[10]Carraro-Eduardo J C,Alves Dda S,Hinden I E,et al.Urinary tract infection and indwelling urinary catheters:prospective study in gynecological surgery with antibiotic prophylaxis[J].Sao Paulo Med J,2015,133(6):517-20.
[11]崔英善,黄福今.细节管理在妇产科优质护理活动中的应用[J].国际护理学杂志,2013,32(1):182-183.
[2]张杰.双腔气囊导尿管在普外科临床应用中存在的问题分析[J].河南医学研究,2015,24(2):136-136.
[3]李友芳,张亚萍,张丽.导尿管相关尿路感染原因分析及预防[J].齐鲁护理杂志,2013,19(8):120-121.
[4]王芬,徐永兰.护理干预对留置尿管患者尿路感染的影响[J].现代中西医结合杂志,2011,20(30):3883-3884.
[5]张晓侠.妇科手术后留置尿管致尿路感染的预防和护理[J].吉林医学,2012,33(23):5141-5142.
[6]梁桂秀,何惠仪,李惠兰.留置导尿管患者尿路感染的相关危险因素分析与护理措施探讨[J].临床医学工程,2014,21(1):106-107.
[7]蔡文兰.导尿管走向对女性留置导尿管患者尿路感染的影响[J].齐鲁护理杂志,2014,20(6):120-121.
[8]俞惠艳.长期留置尿管患者尿路感染因素分析与护理措施[J].中华医院感染学杂志,2012,22(12):2526-2527.
[9]Stenzelius K,Laszlo L,Madeja M,et al.Catheter-associated urinary tract infections and other infections in patients hospitalized for acute stroke:A prospective cohort study of two different silicone catheters[J].Scand J Urol,2016,21:1-6.
[10]Carraro-Eduardo J C,Alves Dda S,Hinden I E,et al.Urinary tract infection and indwelling urinary catheters:prospective study in gynecological surgery with antibiotic prophylaxis[J].Sao Paulo Med J,2015,133(6):517-20.
[11]崔英善,黄福今.细节管理在妇产科优质护理活动中的应用[J].国际护理学杂志,2013,32(1):182-183.