对留置导尿管的患者实施循证护理的效果探究  

Study on the effect of evidence-based nursing for patients with indwelling catheters

作　　者：黄坤玉 毛静[1] Huang Kunyu;MAO Jing(Mianzhu People’s Hospital,Mianzhu,Sichuan 618200)

机构地区：[1]绵竹市人民医院,四川绵竹618200

出　　处：《当代医药论丛》2020年第19期153-154,共2页

摘　　要：目的:探讨对留置导尿管的患者实施循证护理的效果。方法:选取2019年1月至2020年1月期间在绵竹市人民医院接受留置导尿管处理的68例患者为研究对象。将这68例患者分为观察组和对照组。在两组患者留置导尿管期间,对对照组患者实施常规护理,对观察组患者实施循证护理。在两组患者拔除导尿管后,对比其尿路感染的发生率、对护理服务的满意率和生活质量的评分。结果:在留置导尿管的第1周,两组患者尿路感染的发生率大体相当,P>0.05。在留置导尿管的第2周、第3周和第4周,观察组患者尿路感染的发生率均明显低于对照组患者,P<0.05。观察组患者对护理服务的满意率明显高于对照组患者,P<0.05。观察组患者身体健康指数的评分、心理健康指数的评分、社会功能指数的评分和精神状态指数的评分均明显高于对照组患者,P<0.05。结论:对留置导尿管的患者实施循证护理可有效地降低其尿路感染的发生率,提高其对护理服务的满意度,改善其生活质量。Objective:To explore the effect of evidence-based nursing for patients with indwered catheters.Methods:From January 2019 to January 2020,68 patients who received indweling catheters in Mianzhu People’s Hospital were selected as study subjects.The 68 patients wer e divided into observation group and control group.During the period of indwelling catheters in the two groups,routine care was given to patients in the control group and evidence-based care was given to patients in the observation group.The incidence of urinary tract infection,satisfaction with care services,and quality of life scores were compared between the two groups after the removal of the catheter.Results:the incidence of urinary tract infection was approximately the same in both groups,P>0.05,at week 1 of indwsed catheters.In the second,third and fourth weeks of indwelling catheters,the incidence of urinary tract infection in the observation group was significantly lower than that in the control group(P<0.05).The satisfaction rate of patients in the observation group was significantly higher than that in the control group(P<0.05).The scores of physical health index,mental health index,social function index and mental state index in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:Evidence-based nursing can effectively reduce the incidence of urinary tract infection,improve the satisfaction with nursing services,and improve the quality of life in patients with indwser.

关 键 词：留置导尿管 循证护理 尿路感染 

分 类 号：R473[医药卫生—护理学]