护士主导的CAUTI预防策略应用效果的Meta分析  

Effect of nurse-led CAUTI prevention strategy:a Meta-analysis

作　　者：廉洁 李玉静 杜金磊 邹晓月[2] LIAN Jie;LI Yujing;DU Jinlei;ZOU Xiaoyue(School of Nursing,Huzhou University,Huzhou 313000,China;Department of EICU,Huzhou First People′s Hospital,Huzhou 313000,China)

机构地区：[1]湖州师范学院护理学院,湖州313000 [2]浙江省湖州市第一人民医院EICU,湖州313000

出　　处：《当代护士（上旬刊）》2022年第5期1-5,共5页Modern Nurse

基　　金：浙江省大学生科技创新活动计划暨新苗人才计划(2020R442031)。

摘　　要：目的评价护士主导的导尿管相关性感染(CAUTI)预防策略的应用效果。方法计算机检索the Cochrane Library、JBI、PubMed、Web of Science、OVID、CINAHL、中国生物医学文献数据库(CBM)、中国期刊全文数据库(CNKI)、维普数据库(VIP)和万方数据库(Wanfang Data)中涉及护士主导的导尿管相关性感染(CAUTI)预防策略的随机对照试验(RCT)和类实验性研究(qRCT),检索时间为建库至2021年2月1日。2名研究生完成文献筛选、数据提取和质量评价后,使用Stata 16.0软件进行分析。结果共纳入11篇文献,10项类实验研究及1项随机对照试验;中文文献3篇,英文文献8篇;其中10篇等级评价为B,1篇等级评价为A。Meta分析结果显示:护士主导的CAUTI预防策略比传统的导尿管护理更能有效降低插尿管患者CAUTI发生率(P<0.001),减少导尿管使用天数(P<0.001),降低导尿管使用率(P=0.007)。结论护士主导的CAUTI预防策略能有效地降低插尿管患者的CAUTI发生率,减少导尿管使用天数,降低导尿管使用率。Objective To evaluate the effectiveness of the nurse-led prevention strategy for catheter-related infection(CAUTI).Methods Randomized controlled crials(RCT)and quasi-randomized controlled trial(qRCT)about nurse-led CAUTI prevention strategies were retrieved in the Cochrane Library,JBI,PubMed,Web of Science,OVID,CINAHL,China Biomedical Literature Database(CBM),China Journal Full-text Database(CNKI),VIP Database(VIP)and Wanfang Data from their inception to February 1,2021.The literature screening and data extraction were performed by two postgraduate students independently.The Meta-analysis was performed by Stata 16.0 software.Results A total of 11 studies were enrolled,including 10 types of experimental studies,1 randomized controlled trial;three literatures were published in Chinese and 8 were in English;the quality grade of 10 articles were B and 1 article was A.Meta-analysis results showed that the nurse-led CAUTI prevention strategy was more effective than traditional catheter care in reducing the incidence of CAUTI in patients with catheterization(P<0.001)and reducing the number of days of catheter use(P<0001).The difference in catheter utilization was statistically significant(P=0007).Conclusions Nurse-led CAUTI prevention strategies can effectively reduce the incidence of CAUTI in intubated patients,reduce the number of days of catheter use,and reduce the rate of catheter use.

关 键 词：护士主导 导尿管相关尿路感染 预防策略 META分析 

分 类 号：R47[医药卫生—护理学]