全面护理对妇科恶性肿瘤术后留置导尿管尿路感染与导尿并发症的影响

Effect of Comprehensive Nursing on Urinary Tract Infection and Catheterization Complications after Operation of Gynecological Malignant Tumor

目的观察全面护理干预对妇科恶性肿瘤术后留置导尿管患者预防尿路感染与导尿并发症的影响。方法选择104例妇科恶性肿瘤手术后导尿管留置患者为研究对象,随机分为观察组和对照组,各52例。对照组给予常规护理,观察组给予全面护理干预。对比两组患者不同时间点留置导尿管感染发生率和导尿并发症发生情况,通过住院时间、尿管留置时间评估患者的预后情况,同时比较两组患者的生活质量评分和对护理满意度。结果对照组第二、三、四周的尿路感染发生率和导尿并发症的发生率明显高于观察组;观察组患者尿管留置及住院时间更短,SF-36生活质量评分更高且护理满意率较高,以上差异均有统计学意义(P<0.05)。结论全面护理干预对减轻尿路感染与导尿并发症的发生具有显著效果,有效提高患者的生活质量及对护理满意度,值得临床推广应用。

Objective To observe the effect of comprehensive nursing intervention on prevention of urinary tract infection and catheterization complications in patients with indwelling urethral catheter after gynecological malignant tumor surgery.Methods 104 cases of indwelling catheter after operation of gynecologic malignant tumor were selected as the research object,which were randomly divided into observation group and control group,52 cases each.The control group was given routine nursing,and the observation group was given comprehensive nursing intervention.The incidence of catheter catheterization and the incidence of catheterization complications were compared between the two groups at different time points,and the prognosis of patients was evaluated by hospitalization time and catheter retention time.Meanwhile,the life quality score and nursing satisfaction of the two groups were compared.Results The incidence of urinary tract infection in the second,third and four weeks and the complication of urinary catheterization of the control group were significantly higher than those in the observation group.In the observation group,the catheter retention and hospitalization time were shorter,the SF-36 quality of life score was higher and the nursing satisfaction rate was higher.The above differences were statistically significant(P<0.05).Conclusion The comprehensive nursing intervention has a significant effect on reducing the incidence of urinary tract infection and catheterization complications,effectively improving the quality of life and nursing satisfaction of patients,which is worthy of clinical application.