整体护理干预在产科术后留置导尿产妇中的应用

Application of integrated nursing intervention on catheterization for parturient after obstetric surgery

目的探讨整体护理干预在产科留置导尿产妇中的应用。方法 240例留置导尿产妇随机分为干预组与对照组,各120例,干预组给予整体护理干预,对照组常规护理,观察2组泌尿系统感染发生率、导尿管留置时间、症状自评量表(SCL-90)得分、健康知识知晓率。结果干预组产妇泌尿系统感染率(1.67%)低于对照组(14.17%),差异有统计学意义(P<0.05);干预组产妇导尿管留置时间、SCL-90得分均低于对照组,差异有统计学意义(P<0.05)。干预组对健康知识的知晓率(92.50%)优于对照组(65.00%),差异有统计学意义(P<0.05)。结论对产科术后留置导尿产妇行整体护理干预,能够有效降低泌尿系统感染率、缩短导尿管留置时间,增进产妇对相关知识的了解,提高术后的舒适度,有效降低医疗成本,值得临床推广。

Objective To evaluate the integrated nursing intervention on catheterization for parturient after obstetric surgery. Methods A total of 240 parturients with catheterization were ran- domly divided into intervention group and control group, with integrated nursing intervention and con- ventional nursing care, respectively. The incidence of urinary tract infection, catheterization duration, symptom check-list 90 （SCL-90） and awareness of health knowledge were compared between two groups. Results The incidence of urinary tract infection was 1.67% in intervention group and was 14.17% in control group （P 〈0.05）. Observation group had shorter catheterization duration and low- er SCL90 score compared with the controls （ P 〈 0.05 ）. The awareness of health knowledge was higher in intervention group than that of controls （92.5% vs. 65.00%, P 〈 0.05）. Conclusion Integrated nursing is an effective intervention for reducing risk of urinary tract infection, shorting catheterization duration and enhancing health education in parturient after obstetric surgery.