导尿管追踪及预见性护理联合对泌尿外科腹腔镜手术患者疼痛情况及泌尿系统感染的影响

Impacts of urinary catheter tracking combined with predictive nursing on pain situation and urinary system infection in patients undergoing laparoscopic urology surgery

目的探讨导尿管追踪及预见性护理联合对泌尿外科腹腔镜手术患者疼痛情况及泌尿系统感染的影响。方法选取2021年1月至2022年12月在联勤保障部队第910医院泌尿外科接受腹腔镜手术的200例患者。按照随机数表法分为常规组和联合组,每组各100例。常规组给予常规护理干预,联合组给予导尿管追踪及预见性护理联合。比较两组患者泌尿系统感染的发生率、干预前后视觉模拟评分法(VAS)评分、术后恢复情况及护理满意度。结果联合组干预后1、2、3周泌尿系统感染发生率低于常规组,差异有统计学意义(P<0.05);干预后,联合组VAS评分低于常规组,差异有统计学意义(P<0.05);联合组术后首次下床时间、首次排气时间及住院时间短于常规组,且联合组的总满意度高于常规组,差异有统计学意义(P<0.05)。结论导尿管追踪与预见性护理的联合应用,能够降低泌尿外科腹腔镜手术患者泌尿系统感染的发生率,促进患者的康复进程,减轻疼痛感,提高护理满意度,具有较高的临床推广价值。

Objective To investigate the effects of catheter tracking and predictive nursing on pain and urinary system infection in patients undergoing laparoscopic urological surgery.Methods A total of 200 patients who underwent laparoscopic surgery in the Department of Urinary Surgery,the 910th Hospital of the Joint Logistics Support Force from January 2021 to December 2022 were collected.They were divided into a conventional group and a combination group by random number table methods,with 100 cases in each group.Routine nursing intervention was given to the conventional group,and catheter tracing and anticipatory nursing were given to the combined group jointly.The incidence of urinary tract infection,visual analogue scale(VAS)scores before and after intervention,postoperative recovery and nursing satisfaction were compared in the two groups.Results After the intervention,the combined group was lower than the conventional group in the incidence of urinary tract infection at 1,2,and 3 weeks,and the difference was statistically significant(P<0.05).After the intervention,the VAS score of the combined group was lower than that of the conventional group,and the difference was statistically significant(P<0.05).The first time out of bed,the first time of exhaustion,and the length of hospital stay after surgery of the combined group were shorter than that of the conventional group,and the total satisfaction of the combined group was significantly higher than that of the conventional group,and the difference was statistically significant(P<0.05).Conclusion The combined application of catheter tracking and anticipatory care can reduce the incidence of urinary tract infection in urological laparoscopic surgery patients,promote the recovery process of patients,reduce pain and improve nursing satisfaction,which has high clinical promotion value.