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妇科恶性肿瘤术后院外留置尿管患者预防导尿管相关尿路感染知信行调查分析 被引量:4

Investigation and analysis on knowledge,attitude and practice of prevention of catheter-associated urinary tract infection in patients with gynecology malignant tumor with indwelling catheter outside hospital after operation
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摘要 目的探讨妇科恶性肿瘤术后院外留置尿管患者预防导尿管相关尿路感染知信行现状及影响因素。方法采用便利抽样法,选取浙江省肿瘤医院2020年3—11月院外留置尿管患者416例。发放知信行问卷,采用单因素和多因素Logistic回归分析其影响因素。结果单因素分析显示,知晓情况在文化程度、家庭年收入、留置尿管次数之间的分布差异有统计学意义(P<0.05)。态度情况在文化程度、医疗负担和留置尿管知识需求之间的分布差异有统计学意义(P<0.05)。行为情况在医疗负担分布差异有有统计学意义(P<0.05)。多因素分析显示,家庭年收入(>10万)、留置尿管次数(>3次)和知识需求(需要)为知识知晓的影响因素。文化程度(大专以上)、医疗负担(负担很重)和知识需求(需要)是态度的影响因素。医疗负担(负担很重)为行为的影响因素。知晓、态度和行为间均具有相关性。结论妇科恶性肿瘤术后院外留置尿管患者预防CAUTI知识知晓程度、态度及行为积极性有待提高。防治知信行的影响因素各不相同,三者互相关联。 Objective To investigate the current situation and influencing factors of prevention of catheter-associated urinary tract infection in patients with gynecology malignant tumor with indwelling catheter outside the hospital.Methods A total of 416 patients with indwelling catheter outside the hospital in Zhejiang Cancer Hospital from March to November 2020 were selected by the convenience sampling method.Knowledge,attitude and practice questionnaires were issued and the influencing factors were analyzed by univariate and multivariate Logistic regression.Results Univariate analysis showed differences in the distribution of awareness among the educational level,annual household income and indurated catheter times(P<0.05).Differences were also observed in the distribution of attitudes among the educational level,medical burden and induration catheter knowledge demand(P<0.05).Differences in the behavior were observed in the distribution of medical burden(P<0.05).Multivariate analysis showed that annual household income(>100,000),induration catheter times(>3 times)and knowledge demand(need)were the influential factors of knowledge awareness.The education level(junior college or above),medical burden(heavy burden)and knowledge demand(need)were the influencing factors of attitude.The medical burden(very heavy burden)was an influential factor of behavior.Knowledge,attitude and behavior were correlated.Conclusion The degree of knowledge,attitude and behavior enthusiasm of CAUTI prevention in patients with indwelling catheter outside the hospital?after surgery for gynecology malignant tumor should be improved.The influencing factors of knowledge,attitude and practice of prevention and treatment are different and interrelated.
作者 胡春燕 俞惠艳 汪瑶 HU Chunyan;YU Huiyan;WANG Yao(Outpatient Department of Cancer Hospital Affiliated to University of Chinese Academy of Sciences(Zhejiang Cancer Hospital),Hangzhou 310022,China;Department of Nursing,Cancer Hospital,University of Chinese Academy of Sciences(Zhejiang Cancer Hospital),Hangzhou 310022,China;Department of Gynecology,Cancer Hospital,University of Chinese Academy of Sciences(Zhejiang Cancer Hospital),Hangzhou 310022,China)
出处 《中国现代医生》 2021年第34期144-147,共4页 China Modern Doctor
基金 浙江省卫生健康科技计划项目(2021KY109)。
关键词 妇科恶性肿瘤 院外留置尿管 导尿管相关尿路感染 知信行调查 Gynecology malignant tumor Indwelling catheter outside the hospital Catheter-associated urinary tract infection(CAUTI) Knowledge,attitude and practice(KAP)survey
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