基于循证构建预防导尿管相关性尿路感染的护理干预

Nursing intervention on preventing catheter associated urinary tract infection based on evidence

目的分析基于循证构建预防导尿管相关性尿路感染(CAUTI)的护理干预效果。方法选择我院2014年3月至2017年12月收治的200例留置导尿管患者为研究对象,根据入院先后顺序分为对照组和观察组,各100例。对照组采用常规护理模式,观察组采用基于循证的CAUTI预防干预策略,比较两组护理效果。结果观察组CAUTI发生率低于对照组,尿管留置时间短于对照组(P<0.05);观察组护理评分及护理满意度均显著高于对照组(P<0.05)。结论通过建立以循证为基础的干预策略可有效减少CAUTI的发生,缩短导尿留置时间,有效提高护理满意度,值得临床推广。

Objective To analyze the effect of nursing intervention on preventing catheter associated urinary tractinfection （CAUTI） based on evidence. Methods A total of 200 patients with indwelling catheter in our hospital from March2014 to December 2017 were selected and divided into control group and observation group according to their hospitaladmission sequence. The control group was given routine nursing, while the observation group was given the interventionstrategies for preventing CAUTI based on evidence. The nursing effects of the two groups were compared. Results Theincidence of CAUTI in the observation group was lower than that in the control group, and the time of indwelling urinarycatheter was significantly shorter than that in the control group（P〈0.05）. The nursing scores and nursing satisfaction of theobservation group were higher than those of the control group （P〈0.05）. Conclusion The establishment of evidence-basedintervention strategies can effectively reduce the occurrence of CAUTI and shorten the time of indwelling urinary catheter.In addition, it can effectively improve nursing satisfaction. It is worthy of clinical promotion and application.