|
|
Effect of predictive nursing combined with catheter tracking nursing on urinary tract infection and pain in elderly patients undergoing laparoscopic urology surgery |
LYU Di1 LIU Guang2 XIAO Jing1 |
1.Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing 101125, China;
2.Cardiovascular Center, Beijing Friendship Hospital, Capital Medical University, Beijing 101125, China |
|
|
Abstract Objective To explore the effect of predictive nursing combined with catheter tracking nursing on urinary tract infection and pain in elderly patients undergoing laparoscopic urology surgery. Methods A total of 90 elderly patients who underwent laparoscopic surgery in Department of Urology, Beijing Friendship Hospital, Capital Medical University from October 2019 to October 2021 were selected, according to the random number table method, they were divided into control group and study group, with 45 cases in each group. The control group was given routine nursing, and the study group was given predictive nursing combined with catheter tracking nursing. The incidence of urinary tract infection, nursing satisfaction, the incidence of adverse events of catheter, and the degree of pain before and after intervention were compared between the two groups at 1, 2, and 3 weeks after intervention. Results After 1, 2 and 3 weeks of intervention, the incidence of urinary system infection in the study group was lower than that in the control group, and the difference was statistically significant (P < 0.05). After intervention, the visual analogue scale scores of the two groups were lower than those before intervention, and the study group was lower than the control group, and the differences were statistically significant (P < 0.05). The total incidence of adverse events in the study group was lower than that in the control group, and the difference was statistically significant (P < 0.05). The total satisfaction rate of the study group was higher than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion The implementation of predictive nursing combined with catheter tracking nursing can significantly reduce the occurrence of urinary system infection and catheter adverse events in elderly patients with laparoscopic surgery in urology, reduce postoperative pain, improve nursing satisfaction, and has high clinical promotion value.
|
|
|
|
|
[1] 穆小红.泌尿外科后腹腔镜手术后患者疼痛的针对性护理[J].实用临床医药杂志,2018,22(16):61-64.
[2] 曹娟,刘文祯.预见性护理联合肠内营养对胆管癌患者术后胃肠功能和营养状况及护理满意度的影响[J].中国肿瘤临床与康复,2020,27(7):861-863.
[3] 薛梅平,王春樱,毕庆霞.泌尿外科尿管相关性感染的预见性护理[J].实用临床医药杂志,2020,24(12):117-119.
[4] Meddings J,Saint S,Krein SL,et al. Systematic Review of Interventions to Reduce Urinary Tract Infection in Nursing Home Residents [J]. J Hospital Med,2017,12(5):356.
[5] 张杰.基于风险评估的预见性护理对腹腔镜阑尾切除术患者并发症的影响[J].河北医药,2021,43(18):2870- 2873.
[6] 刘悦.中医特色护理在脊柱骨折患者围手术期的应用及对中医症候,VAS评分和并发症的影响[J].四川中医,2020,38(2):204-207.
[7] 朱玲.华生关怀理论对老年轻,中度阿尔茨海默病病人临床护理的干预效果[J].实用老年医学,2020,34(12):1317-1320.
[8] 刘赛,邢念增,牛亦农,等.加速康复外科在腹腔镜泌尿外科上尿路手术中的应用效果分析[J].首都医科大学学报,2019,40(1):78-83.
[9] Ndtm A,Ap A,Tre A,et al. Epidemiology of Antibiotic Use for Urinary Tract Infection in Nursing Home Residents [J]. J American Med Direct Association,2020,21(1):91-96.
[10] 林丹妮,刘振湘,张冲,等. 达芬奇机器人辅助腹腔镜下泌尿外科手术的护理实践[J].海南医学,2021,32(17):2310-2312.
[11] 高林,张扬,姚文英.预见性护理在腹腔镜治疗小儿胆总管囊肿围手术期的应用[J].山西医药杂志,2021,50(15):2354-2357.
[12] 高红梅,段艳艳.预见性护理在腹腔镜术下胆囊结石患者疼痛管理中的应用[J].山西医药杂志,2020,49(11):1457-1459.
[13] 王志敏,肖洁,唐雯,等.预见性护理在腹腔镜直肠癌根治术中的应用[J].海南医学,2019,30(2):270-272.
[14] Yamazoe M,Tomioka H,Wada T. Impact of urinary tract infection on nursing and healthcare-associated pneumonia [J]. J Infect Chemotherapy,2019,25(12):950-954.
[15] 辛以军,王科.加速康复外科理念在泌尿外科腹腔镜前列腺癌根治术围手术期的应用效果评价[J].中国健康教育,2021,37(9):854-856,863.
[16] Catherine,S,Forster,et al. Predictive ability of NGAL in identifying urinary tract infection in children with neurogenic bladders [J]. Pediatr Nephrol,2018,33(8):1365- 1374.
[17] 钟进华.泌尿外科儿童留置导尿管相关尿路感染的临床特征及护理对策[J].蚌埠医学院学报,2016,41(2):254-256.
[18] 张其强,赵海卫,张学宝,等.加速康复外科在后腹腔镜肾上腺切除术中的应用[J].国际泌尿系统杂志,2018, 38(5):785-788.
[19] 段立萍,高蓉蓉.预见性护理对降低泌尿外科腹腔镜术后并发症的影响研究[J].循证护理,2021,7(17):2356- 2359.
[20] 刘娟,许敬萍,周萍,等.快速康复外科理念在泌尿外科常见腹腔镜手术围手术期护理中的应用[J].广东医学,2018,39(6):952-956.
[21] 龙雅洁,陈团友,江秀珠.预见性护理在胆总管结石患者内镜下逆行胰胆管造影术中的效果[J].中国医药科学,2021,11(8):95-98.
[22] 韩华,王杰萍,魏彬.预见性护理对感染科满意度、医院感染率及护理满意度的影响[J].中国医药导报,2021, 18(10):193-196.
[23] 范羽娇,孙香君,董海静.预见性护理对高血压脑出血患者抢救效果及预后影响[J].成都医学院学报,2020, 15(4):526-529.
[24] 邵婷婷,肖慧素,毛丽华.预见性护理在泌尿外科的应用效果[J].中国当代医药,2021,28(15):237-239. |
|
|
|