预防妇科恶性肿瘤患者术后留置导尿管感染的护理干预

Nursing intervention in prevention of postoperative indwelling catheter infection in gynecologic malignant tumor patients

目的探讨护理干预在预防妇科恶性肿瘤患者术后留置导尿管感染中的应用效果。方法将2016年3月—2017年2月妇科恶性肿瘤患者133例设置为对照组,采取常规护理干预,选取2017年3月—2018年2月收治妇科恶性肿瘤行手术治疗患者147例为干预组。比较2组患者术后留置导尿不同时间段发生导尿管感染概率、平均留置导尿时间、住院时间、并发症发生率及护理干预前后患者生活质量。结果干预组患者在术后不同时间段导尿管感染率显著低于对照组;干预组平均留置导尿时间、住院时间及并发症显著少于对照组;护理干预后2组患者的生活质量均有所改善,且干预组显著优于对照组(P <0. 05)。结论妇科恶性肿瘤术后患者采取护理干预,可有效降低患者术后尿路感染率,缩短平均留置导尿及住院时间,减少术后并发症的发生,提高患者护理干预后的生活质量。

Objective To observe the effect of nursing intervention in prevention of postoperative urinary catheter infection in patients with gynecologic malignancies.Methods A total of 133 patients with gynecologic malignancies from March 2016 to February 2017 were as control group,given routine nursing,another 147 gynecologic malignant tumor patients with gynecologic malignancies underwent surgery from March 2017 to February 2018 were as intervention group.The incidence of urinary catheter infection,the average indwelling time of catheter,the time of hospitalization,the incidence of complications and the quality of life before and after nursing intervention were compared between the two groups.Results The incidence of urinary catheter infection in the intervention group was significantly lower,the average retention time,hospitalization time and incidence of complications in the intervention group were less than that in the control group(P<0.05).The quality of life of the two groups were improved after nursing intervention,and the intervention group was significantly better than the control group(P<0.05).Conclusion Nursing intervention for patients with gynecologic malignant tumor can effectively reduce the incidence of urinary tract infection after operation,shorten the average indwelling catheterization and hospitalization time,reduce the incidence of postoperative complications and improve the quality of life after nursing intervention.