老年尿路感染控制优质护理模式应用的研究

Application of quality care model in infection control for elderly patients with urinary tract infection

目的探讨优质护理模式在老年尿路感染患者护理中的应用方法和效果,为临床预防尿路感染提供参考依据。方法选取2011年5月-2013年5月老年病科发生尿路感染的患者110例,按照护理方式的不同随机分为观察组和对照组,每组各55例;对照组采用常规护理方法,观察组采用优质护理方式,对两组护理效果、不同时间段内的细菌感染情况、膀胱症状消失情况进行观察比较,采用SPSS16.O进行分析。结果观察组治愈38例治愈率为69.09%,总有效率为94.55%;对照组治愈18例治愈率为32.73%,总有效为72.73%;留置导尿管第4、8、12天培养阴性率观察组分别为9.09%、23.64%、45.45%,对照组分别为1.82%、3.64%、5.45%,;观察组膀胱症状消失情况显著优于对照组,两组比较,差异均有统计学意义(P<0.05)。结论对老年尿路感染患者采用优质护理模式,能显著降低患者尿培养阳性率,缓解患者膀胱症状,提高护理效果,改善患者预后,值得临床推广应用。

OBJECTIVE To investigate application and effects of the quality care model in nursing for elderly patients with urinary tract infection. METHODS Totally 110 elderly patients with urinary tract infections from May 2011 to May 2013 were selected and were randomly divided into the observation group and the control group （n=55 patients in each group） according to the different ways of care. The control group received conventional methods of care, the observation group received the quality care approach, two groups were observed and com- pared for care effect, bacterial infection during different time periods, and disappearance of bladder symptoms. Data were analyzed with SPSS 16.0. RESULTS Totally 38 cases were cured, the cure rate was 69.09%, the total effective rate was 94.55 % in the control group; in contrast, 18 were cured, the cure rate was 32.73%, the total effective rate was 72.73% in the observation group. The bacterial negative rates were 9.09%, 23.64%, 45.45% in the observation group, and 1.82%, 3.64%, 5.45% in the control group at 4 days, 8 days, and 12 days of catheterization tube culture. The situation of disappearance of bladder symptoms was significantly better in observation group than in the control group, the difference between the two groups was significant （P〈0. 05）. CONCLUSION Application of quality care model in elderly patients with urinary tract infection can significantly reduce the rate of patients with positive urine culture, relieve bladder symptoms, improve care effects, and improve patient prognosis, which is worthy of clinical application.