摘要
目的探究循证干预措施对泌尿外科留置导尿患者尿路感染的影响。方法选取2012年2月-2016年10月于医院接受泌尿外科留置导尿治疗的患者113例,分为对照组56例与试验组57例。两组患者接受泌尿外科疾病治疗后,均实施留置导尿。对照组采用常规干预对策,试验组的干预在对照组的基础上,外加循证干预措施。拔掉导尿管后,填写患者满意度调查问卷。观察两组患者干预前后焦虑自评量表(SAS)得分情况及尿流动力学、不同时间尿路感染发生情况、导管留置时间与感染发生总例数及干预满意度情况。结果两组患者干预前的SAS得分情况比较,差异无统计学意义。干预后,试验组的SAS分值为(19.14±2.35)分低于对照组(39.67±5.91)分(P<0.001)。试验组患者的膀胱压力值和尿流率为(51.45±11.36)cmH2O和(10.97±1.89)ml/s高于对照组的(35.21±7.47)cmH2O和(7.63±1.55)ml/s(P<0.001);试验组患者残余尿量值为(22.32±4.85)ml低于对照组(43.78±10.48)ml(P<0.001)。试验组患者第4天、第8天、第12天的尿路感染发生率分别为0、3.51%、5.26%均低于对照组19.64%、25.00%、30.36%(P<0.05)。试验组导管留置天数(4.21±1.14)天,低于对照组的留置时间(8.31±3.03)天(P<0.05)。试验组感染发生总率为5.26%低于对照组32.14%(P<0.05)。试验组满意度优于对照组(P<0.001)。结论循证干预措施能缓解患者焦虑,有助于患者下尿路、膀胱功能的恢复,降低尿路感染发生率,提高患者对干预的满意度。
OBJECTIVE To explore the influence of evidence-based intervention measures on urinary tract infections in patients with indwelling catheterization in department of urology.METHODS A total of 113 patients with indwelling catheterization in department of urology were collected from Feb.2012 to Oct.2016,and were randomly divided into control group（56 cases）and observation group（57 cases）.After treatment of diseases in department of urology,the two groups of patients were implemented indwelling catheter.The control group was treated with routine intervention,and observation group was treated with evidence-based interventions on the basis of control group.After pulling out the catheter,the patient satisfaction questionnaires were completed.The self rating Anxiety Scale（SAS）score and urodynamics,the incidence of urinary tract infections in different time,catheter indwelling time and the total number of cases of infections and nursing satisfaction of the two groups before and after the intervention were observed.RESULTS There was no significant distinction in SAS score between the two groups before nursing.After intervention,the SAS score of observation group was（19.14±2.35）,which was distinctly lower than（39.67±5.91）of control group（P〈0.001）.The bladder pressure and urine flow rate of observation group were（51.45±11.36）cmH2 Oand（10.97±1.89）mL/s,which were significantly higher than（35.21±7.47）cmH2 O and（7.63±1.55）ml/s of control group（35.21±7.47）cmH2 O（P〈0.001）.The residual urine volume of observation group was（22.32±4.85）mL,which was significantly lower than（43.78±10.48）mL of control group（P〈0.001）.The incidences of urinary tract infections in observation group on the fourth day,eighth day and twelfth day were 0,3.51%and 5.26%,respectively,which were significantly lower than 19.64%,25.00%and 30.36%in control group（P〈0.05）.The indwelling time of catheter in observation group was（4.21±1.14）days,which was significantly lower than（8.31�
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2018年第4期606-609,共4页
Chinese Journal of Nosocomiology
基金
贵州省科学技术基金资助项目(黔科合J字[2014]2187号)
关键词
循证干预
泌尿外科
留置导尿
尿路感染
治疗效果
Evidence-based intervention
Department of urology
Indwelling catheter
Urinary tract infection
Therapeutic effect
