妇产科使用循证干预模式预防尿路感染的临床研究  

Application of evidence-based nursing in prevention of urinary tract infections in gynecology and obstetrics department

作　　者：唐兰梅 王霞虹 严丽 

机构地区：[1]盐城市第一人民医院产科,江苏盐城224001

出　　处：《中华医院感染学杂志》2013年第22期5461-5462,5465,共3页Chinese Journal of Nosocomiology

基　　金：苏州市卫生局科教兴卫青年科技基金项目(KJXW2011017)

摘　　要：目的探讨不同护理方式对预防产科患者尿路感染的影响,为留置导尿患者预防尿路感染寻找最佳护理措施并提供理论依据。方法选择2009年1月-2012年4月在产科分娩的98例产妇,随机分为试验组和对照组,每组各49例;试验组患者给予循证护理干预,对照组给予常规护理干预,观察比较两组患者尿液细菌培养结果。结果试验组置管后第14天的尿路感染发生率为44.89%,并发症发生率为9.16%,对照组分别是89.79%、53.06%,试验组低于对照组,差异有统计学意义(P<0.05);干预后HAMA和SAS评分试验组分别为(8.2±2.6)分和(19.51±2.34)分,对照组分别为(20.6±2.8)分和(41.58±6.24)分,试验组心理状况改善情况明显优于对照组,差异有统计学意义(P<0.05)。结论积极寻找产科留置导尿患者尿路感染的原因,实施有效循证护理干预措施,对临床预防产科患者尿道感染有积极指导作用,同时降低了患者住院期间焦虑抑郁的症状。OBJECTIVE To explore the effects of different nursing measures on prevention of urinary tract infections in obstetrics department so as to seek optimal nursing measures of prevention of urinary tract infections in the catheter indwelling patients. METHODS A total of 98 pregnant women who gave birth in the obstetrics department from Jan 2009 to Apr 2012 were enrolled in the study and randomly divided into the study group and the control group with 49 cases in each, then the study group was treated with the evidence-based nursing, then control group was given the conventional nursing, and the urine culture results were observed and compared between the two groups. RESULTS Fourteen days after the catheter indwelling, the incidence rate of urinary tract infections was 44.89% in the study group, 89.79% in the control group; the incidence rate of complications was 9.16% in the study group, 53.06 % in the control group, the difference between the two groups was statistically significant. After the nursing interventions were implemented, the HAMA score was（8.2±2.6） points in the study group, （20.6±2.8） points in the control group; the SAS score was （19.51±2.34） points in the study group, （41.58±＋ 6.24） points in the control group, the improvement of psychological condition of the study group was significantly better than that of the control group （P〈0.05）. CONCLUSION It is of great importance to explore the causes of urinary tract infections in the catheter indwelling patients and implement effective evidence-based nursing interventions so as to guide the clinical prevention of urinary tract infections in the obstetrics department and reduce the anxiety and depression of the patients during the hospital stay.

关 键 词：尿路感染 循证护理 产科 

分 类 号：R691.3[医药卫生—泌尿科学]