延边大学医学学报2024，Vol.47Issue(3) ：371-374.DOI:10.16068/j.1000-1824.2024.03.040

接受上尿路结石输尿管镜治疗患者术后泌尿系统感染前瞻预控护理效果观察

Observation on the effect of prospective pre-control nursing for postoperative urinary tract infection in patients treated with ureteroscopy for upper urinary tract calculi

王暂度 陈海莺 石菲萍 黄亚云 张剑平
延边大学医学学报2024，Vol.47Issue(3) ：371-374.DOI:10.16068/j.1000-1824.2024.03.040
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接受上尿路结石输尿管镜治疗患者术后泌尿系统感染前瞻预控护理效果观察

Observation on the effect of prospective pre-control nursing for postoperative urinary tract infection in patients treated with ureteroscopy for upper urinary tract calculi

王暂度 1陈海莺 1石菲萍 1黄亚云 1张剑平1
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作者信息

  • 1. 中国人民解放军联勤保障部队第九一〇医院,福建 泉州 362000
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摘要

目的:观察于接受上尿路结石输尿管镜治疗患者护理中引入针对术后泌尿系感染问题的前瞻预控护理所取得的效果.方法:选取2021年1月至2023年9月于中国人民解放军联勤保障部队第九一〇医院接受输尿管镜治疗的上尿路结石病例200例为观察样本,采用随机数字表法分为对照组与试验组,每组各100例.对照组遵循尿路结石输尿管镜治疗常规护理模式开展护理,试验组在接受上述护理的基础之上加用针对术后泌尿系感染事件的前瞻预控护理干预,对干预后各观察指标进行对比分析.结果:试验组术后泌尿系感染发生率低于对照组(χ2=7.680,P=0.006),各项生活质量综合评定问卷(GQOLI-74)评分高于对照组(t=35.206、21.366、29.361、26.318,P均＜0.001).结论:针对上尿路结石输尿管镜治疗患者术后泌尿系感染问题引入前瞻预控护理机制,有利于提高护理人员感染防控知信行水平,可降低术后泌尿系感染率.

Abstract

Objective To observe the effect of prospective pre-control nursing for postoperative urinary tract infection in patients treated with ureteroscopy for upper urinary tract calculi.Methods A total of 200 cases of upper urinary tract calculi treated by ureteroscopy in the 910th Hospital of Joint Service Support Force of the Chinese People's Liberation Army from January 2021 to September 2023 were selected as observation samples,and were divided into control group and experimental group by random number table method,with 100 cases in each group.The control group followed the routine nursing mode of ureteroscopic treatment of urinary tract calculi to carry out nursing,while the experimental group added the prospective pre-control nursing intervention for postoperative urinary tract infection events on the basis of above nursing.The various observation indexes were compared and analyzed after the intervention.Results The incidence of postoperative urinary tract infection in the experimental group was lower than that in the control group(χ2=7.680,P=0.006),and the scores of GQOLI-74 were higher than those in the control group(t=35.206,21.366,29.361,26.318,all P＜0.001).Conclusion In view of the problems of urinary tract infection after ureteroscopy for patients with upper urinary tract calculi,the introduction of prospective pre-control nursing mechanism is conducive to improving the levels of knowledge,attitude and practice of infection prevention and control of nursing practitioners,and reducing the rate of postoperative urinary tract infection.

关键词

上尿路结石/输尿管镜治疗/术后护理/泌尿系感染/前瞻防控

Key words

Upper urinary tract calculi/Ureteroscopic treatment/Postoperative care/Urinary tract infection/Prospective prevention and control

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基金项目

泉州市科技计划项目(2023NSs020)

出版年

2024
延边大学医学学报
延边大学

延边大学医学学报

影响因子：0.308
ISSN：1000-1824
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