妇科恶性肿瘤导管相关性尿路感染循证预防效果观察

Effect observation of evidence-based prevention for catheter-related urinary tract infections in gynecological malignant tumors

目的依据循证思维,检索英国NICE、PubMed以及知网、万方等国内外数据库,总结妇科恶性肿瘤导管相关性尿路感染预防的最佳证据并应用于临床,探讨其临床实践效果。方法选取2018年1月至2020年1月医院156例妇科恶性肿瘤长期留置导尿管患者,按照年龄、病情匹配的原则分为对照组和观察组,每组78例。对照组进行常规护理,观察组在总结妇科恶性肿瘤导管相关性尿路感染预防最佳证据后进行循证护理。比较两组患者留置导尿管第3,7,10天尿路感染发生率以及恢复自主排尿时间、住院时间。结果观察组留置导尿管第3,7,10天尿路感染发生率均低于对照组,差异具统计学意义(P<0.05);观察组恢复自主排尿时间、住院时间短于对照组,差异具有统计学意义(P<0.05)。结论通过尿路感染预防最佳证据总结进行循证护理能够有效降低尿路感染发生率,缩短尿管留置以及住院时间,为妇科恶性肿瘤长期留置导尿管患者尿路感染预防提供循证证据支持。

Objective To search the UK NICE,PubMed,HowNet,Wanfang and other domestic and foreign databases based on evidence-based thinking,summarize the best evidence for the prevention of catheter-related urinary tract infections in gynecological malignancies and applied it to the clinic to explore its clinical practice effects.Methods A total of 156 patients with gynecological malignant tumors with long-term indwelling catheters in hospital from January 2018 to January 2020 were selected and divided into a control group and an observation group according to the matching principle of age and condition,with 78 cases in each group.The control group received routine care,and the observation group received evidence-based care after summarizing the best evidence for the prevention of catheter-related urinary tract infections in gynecological malignancies.The incidence of urinary tract infection on the 3rd,7th,and 10th day of indwelling urinary catheters,the time to return to spontaneous urination,and the length of hospital stay were compared between the two groups.Results The incidence of urinary tract infection on the 3rd,7th,and 10th day of indwelling urinary catheters in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The time to return to spontaneous urination,and the length of hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of evidence-based care based on the best evidence for the prevention of urinary tract infection can effectively reduce the incidence of urinary tract infection,shorten the indwelling catheter and hospital stay,and provide evidence-based evidence for the prevention of urinary tract infection in patients with long-term indwelling catheters for gynecological malignancies stand by.