精细化护理对改善手术室糖尿病患者术后留置导尿管并发尿路感染的效果分析  

Analysis of the Effect of Meticulous Care on Improving Urinary Tract Infections Complicated by Indwelling Cathe⁃ters in Postoperative Diabetic Patients in the Operating Room

作　　者：郭仲辉[1] 王磊[1] 王晓辉[1] Guo Zhonghui;Wang Lei;Wang Xiaohui(First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan,471000,China)

机构地区：[1]河南科技大学第一附属医院,河南洛阳471000

出　　处：《黑龙江医学》2023年第15期1891-1893,共3页Heilongjiang Medical Journal

基　　金：2018年度河南省医学科技攻关计划项目(2018020290)。

摘　　要：目的:探讨精细化护理对改善手术室糖尿病患者术后留置导尿管并发尿路感染的应用效果。方法:选取2020年1月—2021年5月河南科技大学第一附属医院收治的80例糖尿病术后留置导尿管并发尿路感染患者作为研究对象,采用随机数表法分为传统组和精细组,每组各40例。传统组采用常规护理措施干预,精细组采用精细化护理措施进行干预。比较两组患者留置导尿管时间和住院时间、生活质量[生活质量量表(SF-36)评分]、负性情绪[医院焦虑量表(HADS-A)、抑郁量表(HADS-D)评分]和并发症发生情况。结果:精细组留置导尿管时间和住院时间均明显少于传统组,差异有统计学意义(t=18.012、6.775,P<0.05)。精细组SF-36量表中社会功能、物质生活、躯体功能、心理功能维度评分明显高于传统组,差异有统计学意义(t=7.143、9.944、13.504、14.281,P<0.05)。干预后,精细组HADS-A与HADS-D评分均低于传统组,差异有统计学意义(P<0.05)。精细组并发症发生率为12.50%,明显低于传统组的32.50%,差异有统计学意义(χ^(2)=4.588,P<0.05)。结论:对手术室糖尿病患者实施精细化护理,能够缩短糖尿病患者留置导尿管时间和住院时间,缓解负面情绪,减少并发症的发生,提高患者生活质量。Objective:To investigate the effect of refined care on improving the application of postoperative indwelling catheter with urinary tract infection in diabetic patients in the operating room.Methods:80 patients admitted to the hospital from January 2020 to May 2021 with postoperative indwelling catheter for diabetes mellitus complicated by urinary tract infection were taken as the study subjects,and were divided into traditional group and fine group using the random number table method,with 40 cases in each group.The conventional group was intervened with conventional nursing measures and the fine group was intervened with refined nursing measures.The duration of indwelling catheter and hospital stay,quality of life(SF-36 scale),negative emotions(HADS-A,HADS-D score)and complications were compared between the two groups.Results:The duration of indwelling catheter and hospital stay were significantly less in the fine group than in the conventional group,with statistically significant differences(t=18.012,6.775,P<0.05).The scores of social functioning,material life,somatic functioning,and psychological functioning dimensions were significantly higher in the fine group than in the traditional group,with statistically significant differences(t=7.143,9.944,13.504,14.281,P<0.05).After the intervention,patients in the fine group had lower HADS-A and HADS-D scores than the conventional group,with statistically significant differences(P<0.05).The incidence of complications was 12.50%in the fine group,which was significantly lower than 32.50%in the conventional group,and the difference was statistically significant(χ^(2)=4.588,P<0.05).Conclusion:The implementation of refined care for diabetic patients in the operating room can shorten the duration of indwelling catheters and hospital stays,alleviate negative emotions,reduce the occurrence of patient complications,and improve the quality of life of patients.

关 键 词：精细化护理 手术室 糖尿病 留置导尿管 尿路感染 

分 类 号：R472.3[医药卫生—护理学]