家庭护理干预预防脑卒中后遗症患者尿路感染效果

Effect of family nursing intervention on the prevention of urinary tract infection in patients with stroke sequelae

目的 :探讨家庭护理干预措施对脑卒中后遗症患者尿路感染的预防效果。方法 :2015年6月—12月选择脑卒中后遗症患者50例及家庭护理人员50名,分为干预组25对(患者25例和护理人员25名),采用针对性护理干预措施;对照组25对,采用常规护理措施。观察两组患者尿路感染的发生率及家庭护理人员6个月内预防尿路感染相关知识掌握情况。结果 :干预组尿路感染率为4%,显著低于对照组的32%(P<0.05)。干预组家庭护理人员预防尿路感染相关知识得分为(91.15±15.88)分,显著高于对照组的(60.43±12.76)分,组间差异有统计学意义(P<0.05)。结论:针对性护理干预措施能提高患者的健康教育知识掌握程度,并有效预防脑卒中后遗症患者在家庭护理中尿路感染的发生,值得推广应用。

Objective： To explore the effect of family nursing intervention on the prevention of urinary tract infection in patients with stroke sequelae. Methods： From June to Dec 2015, 50 patients with cerebral apoplexy sequela and 50 family caregivers were selected and divided into an intervention group（25 patients and 25 caregivers） that were given the targeted nursing intervention measure and the control group with 25 pairs that were given the conventional nursing measure. Incidence of urinary tract infection of the patients and knowledge of urinary tract infection prevention of family caregivers were observed in 6 months in the two groups. Results： The rate of urinary tract infection in the intervention group was 4%, which was significantly lower than that in the control group 32%（P〈0.05）. The score of the prevention of urinary tract infection related knowledge of the caregivers in the intervention group was（91.15±15.88）, which was significantly higher than that in the control group（60.43±12.76）, and the difference between the two groups had the statistical significance（P〈0.05）. Conclusion： Targeted nursing intervention can improve the degree of the patients＇ health education knowledge mastered, and effectively prevent the occurrence of urinary tract infection of patients with stroke sequelae in the home care. It is worthy of popularization and application.