研究综合护理干预对留置导尿管患者尿路感染的影响

Study the Effect of Comprehensive Nursing Intervention on Urinary Tract Infection in Patients withIndwelling Catheter

目的:分析综合护理干预对留置导尿管患者尿路感染的影响。方法:选取2017年9月-2019年8月本院收治的110例留置导尿管患者为研究对象。将其随机分为试验组和对照组,每组55例。对照组采用传统护理,试验组采用综合护理干预。比较两组舒适度、血清炎症因子水平、尿路感染发生率、SAS评分、SDS评分、导尿管留置时间、住院时间。结果:试验组舒适度优于对照组,差异有统计学意义(P<0.05)。导尿管留置5 d后,试验组IL-6、TNF-α及hs-CRP水平均显著低于对照组,差异均有统计学意义(P<0.05)。试验组尿路感染发生率为1.82%,显著低于对照组的18.18%,差异有统计学意义(P<0.05)。护理后,两组SAS、SDS评分均下降,且试验组评分均显著低于对照组,差异均有统计学意义(P<0.05)。试验组导尿管留置时间、住院时间均显著短于对照组,差异均有统计学意义(P<0.05)。结论:综合护理干预可有效提高留置导尿管患者舒适度,降低尿路感染发生率,减轻心理焦虑、抑郁等不良情绪,缩短住院时间,值得借鉴。

Objective:To analyze the effect of comprehensive nursing intervention on urinary tract infection in patients with indwelling catheters.Method:A total of 110 patients with indwelling catheter in our hospital from September 2017 to August 2019 were selected as the research objects.They were randomly divided into experimental group and control group,55 cases in each group.The control group was given traditional nursing,the experimental group was given comprehensive nursing intervention.Comfort,serum inflammatory factor level,incidence of urinary tract infection,SAS score,SDS score,catheter indwelling time and hospitalization time were compared between the two groups.Result:The comfort level of the experimental group was better than that of the control group,with statistically significant difference(P<0.05).After catheter indwelling for 5 days,the levels of IL-6,TNF-αand hs-CRP in the experimental group were significantly lower than those in the control group,with statistically significant differences(P<0.05).The incidence of urinary tract infection in the experimental group was 1.82%,significantly lower than 18.18%in the control group,with a statistically significant difference(P<0.05).After nursing,SAS and SDS scores in both groups decreased,and scores in the experimental group were significantly lower than those in the control group,with statistically significant differences(P<0.05).The catheter indwelling time and hospital stay time in the experimental group were significantly shorter than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Comprehensive nursing intervention can effectively improve the comfort of patients with indwelling urethral catheter,reduce the incidence of urinary tract infection,reduce psychological anxiety,depression and other negative emotions,shorten the length of hospital stay,which is worth learning.