以护士为基础的提醒机制对住院患者尿管使用的影响

Influence of nurse-led reminding system on urethral catheter application in hospitalized patients

目的探讨以护士为基础的提醒机制对住院患者尿管使用的影响。方法 644例住院患者,本实验由观察期(观察组)307例及干预期(干预组)337例组成,干预措施使护士明确尿管的使用指征,每日将无指征的尿管使用告知临床医师并提醒其及时拔除,收集记录观察组及干预组住院患者的尿管使用情况。结果研究的主要指标为尿管使用率(累计尿管使用日/累计住院日)及无指征尿管使用率(累计无指征尿管使用日/累计住院日),通过干预措施,住院患者的尿管使用率干预组16.97%,观察组19.98%(P<0.01),干预组无指征尿管使用率5.49%,观察组7.29%(P<0.01)。结论以护士为基础的提醒机制能够降低住院患者的尿管使用率及无指征尿管使用率。

Objective To explore the influence of nurse-led reminding system on catheter application in hospitalized patients. Methods This research consisted of 307 cases in observational phase（observation group） and 337 cases in interventional phase（intervention group）, and 644 patients in total. The intervention measure could clarify the using indications of catheter for nurse, who could report daily usage of catheter without indication to doctors and remind them of timely detachment. The using condition of catheter in the observation group and intervention group were recorded. Results The main indexes of this study included catheter utilization rate（accumulative urethral catheter using days/accumulative hospital stays） and noindication catheter utilization rate（accumulative no-indication urethral catheter using days/accumulative hospital stays）. After applying the intervention measures, the catheter utilization rate of the intervention group was 16.97%, and that of the observation group was 19.98%（P〈0.01）. The no-indication catheter utilization rate of the intervention group was 5.49%, and that of the observation group was 7.29%（P〈0.01）. Conclusion The nurse-led reminding system may reduce the catheter utilization rate and no-indication catheter utilization rate in hospitalized patients.