心理护理对留置尿管患者预防尿路感染的应用价值

The application vualue of psychological nursing in the prevention of CAUTI in patients with indwelling catheters and its effects on the QOL scores

目的探讨心理护理在留置尿管患者预防导尿管相关尿路感染(CAUTI)护理中的应用及对患者QOL评分的影响。方法选取2019年3月至2020年3月确诊并治疗的82例留置尿管患者,依据护理干预方式不同进行区分,对照组常规护理,研究组联合应用心理护理。观察并比较2组干预后不同时间节点下发生CAUTI的比率水平差异;2组干预前、后生活质量(QOL)评分水平,满意度比率。结果研究组发生CAUTI的比率水平比对照组低,差异有统计学意义(P<0.05)。干预后研究组不同QOL量表维度下的评分水平、满意度比率均比对照组高,差异有统计学意义(P均<0.05)。结论给予留置尿管患者在使用常规护理基础上联合心理护理,可显著降低发生CAUTI的风险性及比率水平,提高患者QOL评分水平和满意度比率。

Objective To investigate the application effects of psychological nursing in the prevention of catheter-related urinary tract infection(CAUTI)in patients with indwelling catheters and its effects on the QOL scores.Methods A total of 82 patients with indwelling catheters who were treated in our hospital from March 2019 to March 2020 were enrolled in the study.According to different nursing intervention methods,these patients were divided into two groups.The patients in control group were treated by routine nursing,however,those in research group,on the basis of control group,were treated by psychological nursing.The rate of CAUTI at different time points after intervention,and the quality of life(QOL)score level as well as the satisfaction rate were observed and compared between the two groups.Results The rate of CAUTI in research group was significantly lower than that in control group(P<0.05).After intervention,the scores of QOL rating scales in different dimensions and the satisfaction rate in research group were significantly higher than those in control group(P<0.05).Conclusion The conventional nursing combined with psychological nursing for the patients with indwelling catheters can significantly reduce the risk and proportion of CAUTI,and improve the QOL score and the satisfaction rate of patients.