摘要

目的 分析为留置导尿管的重症患者提供延续护理干预，对尿路感染的预防作用。方法 选取留置导尿管的重症患者80例，入院治疗时间均为2022年3月至2024年12月；根据护理干预方案的差异性将全部80例患者分成两组，将其中接受常规出院指导的40例患者纳入到对照组，将另外接受延续护理干预的40例患者纳入到研究组，对两组患者的自护能力、并发症及生活质量进行观察比较。结果 与出院时相比较，两组出院后半年的自护能力、生活质量各维度评分均升高（P＜0.05）；与对照组出院后半年相比较，研究组的各项评分均更高（P＜0.05）。在并发症发生率方面，对照组、研究组分别为25.00%、5.00%，研究组更低（P＜0.05）。结论 为留置导尿管的重症患者提供延续护理干预，不但能对其自护能力进行显著改善，还能让尿路感染等并发症明显减少，使其生活质量显著提高。

关键词

留置导尿管；重症患者；延续护理干预；尿路感染

Abstract

Objective To analyze the preventive effect of continuous nursing intervention for severe patients with indwelling catheter on urinary tract infection.
Methods 80 cases of severe patients with indwelling catheter were selected, and the hospitalization time was from March 2022 to December 2024; All 80 patients were divided into two groups according to the differences of nursing intervention programs. 40 patients who received routine discharge guidance were included in the control group, and another 40 patients who received continuing nursing intervention were included in the study group. The self-care ability, complications and quality of life of the two groups were observed and compared.
Results compared with the time of discharge, the scores of self-care ability and quality of life in the two groups were increased half a year after discharge (P<0.05); Compared with the control group half a year after discharge, the scores of the study group were higher (P<0.05). In terms of the incidence of complications, the control group and the study group were 25.00% and 5.00%, respectively, and the study group was lower (P<0.05).
Conclusion   continuous nursing intervention for severe patients with indwelling catheter can not only significantly improve their self-care ability, but also significantly reduce complications such as urinary tract infection and improve their quality of life.

Key words

Indwelling catheter; Critically ill patients; Continuous nursing intervention; Urinary tract infection