提醒和定期评估管理模式在预防导尿管相关尿路感染中的应用

Application of the management model of reminder and regular evaluation in the prevention of catheter-related urinary tract infection

目的观察提醒和定期评估管理模式在预防导尿管相关尿路感染中的应用效果。方法抽取2019年6月至2020年12月我院收治的80例患者为临床研究对象,所有患者均为ICU住院患者,且留置导尿管,根据随机数字表法分为对照组和观察组,每组各40例,其中对照组采用常规留置导尿管理模式,观察组实施提醒和定期评估管理模式,比较两组留置导尿管理遗漏率、导尿管管理观察指标情况及生活质量评分。结果观察组患者留置导尿管理遗漏率为2.50%,显著低于对照组的17.50%,差异有统计学意义(P<0.05);观察组患者导尿管留置时间为(12.17±2.14)d,显著短于对照组的(15.93±4.20)d,差异有统计学意义(P<0.05);观察组患者CAUTI感染率为2.50%,显著低于对照组的10.00%,差异有统计学意义(P<0.05);观察组患者身体状况、情绪状态、认知状态、躯体疼痛评分显著高于对照组,差异有统计学意义(P<0.05)。结论提醒和定期评估管理模式能有效预防导尿管相关尿路感染风险,降低遗漏,提升患者生活质量,值得推广。

Objective To observe the application effect of the management model of reminder and regular evaluation in the prevention of catheter-related urinary tract infections.Methods A total of 80 patients who were admitted to our hospital from June 2019 to December 2020 were selected as clinical study subjects.All patients were ICU inpatients with indwelling catheters.According to the random number table method,they were divided into the control group and the observation group,with 40 cases in each group.The control group was given the management model of conventional indwelling catheterization,and the observation group was given the management model of reminder and regular evaluation.The missed rate of indwelling catheter management,the observation indices of catheter management and the quality of life score after intervention were compared between the two groups.Results The missed rate of indwelling catheterization management in the observation group was 2.50%,which was significantly lower than that of 17.50%in the control group,with significant difference(P<0.05);the indwelling time of catheter in the observation group was(12.17±2.14)days,which was significantly shorter than that of(15.93±4.20)days in the control group,with significant difference(P<0.05);the CAUTI infection rate in the observation group was 2.50%,which was significantly lower than that of 10.00%in the control group,with significant difference(P<0.05);the physical condition,emotional state,cognitive state,and physical pain scores in the observation group were significantly higher than those in the control group,with significant difference(P<0.05).Conclusion The management model of reminder and regular evaluation can effectively prevent the risk of catheter-related urinary tract infection,reduce missed rate,and improve the quality of life of patients,which is worthy of promotion.