The effect of high-quality nursing after urology surgery on urinary infection
泌尿外科术后优质护理对泌尿感染的影响

摘要

目的 研究泌尿外科患者术后采用优质护理后对泌尿感染的控制效果。方法 以2019年1月至2021年1月期间我院收治的60例泌尿外科造口患者为例，将随机数字表法作为分组原则，随机分为2组，分成对照组（n=30）和观察组（n=30），对照组患者采用常规护理，观察组患者采用优质护理，比较两组患者的护理满意度；护理前后的焦虑评分、抑郁评分；护理前后的泌尿造口自我护理量表评分；护理前后的生活质量评分（睡眠质量、心理状态、躯体活动、社会生活）；泌尿感染率。结果 观察组患者的护理满意度为96.7%（29/30），对照组患者的护理满意度为73.3%（22/30），差异有统计学意义（P＜0.05）；护理前，两组患者的焦虑评分、抑郁评分比较，差异无统计学意义（P＞0.05），护理后，观察组患者的焦虑评分、抑郁评分均低于对照组患者，差异有统计学意义（P＜0.05）；护理前，两组患者的泌尿造口自我护理量表评分比较，差异无统计学意义（P＞0.05），护理后，观察组患者的泌尿造口自我护理量表评分高于对照组患者，差异有统计学意义（P＜0.05）；护理前，两组患者的生活质量评分比较，差异无统计学意义（P＞0.05），护理后，观察组患者的生活质量评分高于对照组患者，差异有统计学意义（P＜0.05）；观察组患者的泌尿感染率为0.0%（0/30），对照组患者的泌尿感染率为20.0%(6/30)，差异有统计学意义（P＜0.05）。结论 泌尿外科患者通过优质护理，可以有效提升护理效果，改善负面情绪以及生活质量，降低泌尿感染率，值得推广。

Abstract

Objective To study the effect of high-quality nursing on the control of urinary infection in urological patients after surgery.
Methods Taking 60 patients with urological stoma admitted in our hospital from January 2019 to January 2021 as an example, using the random number table method as the grouping principle, they were randomly divided into 2 groups and divided into a control group (n=30). Compared with the observation group (n=30), the patients in the control group received routine nursing care, and the patients in the observation group received high-quality nursing care. The nursing satisfaction of the two groups of patients was compared; the anxiety score and depression score before and after nursing; the amount of urostomy self-care before and after nursing Table score; quality of life score before and after nursing (sleep quality, psychological state, physical activity, social life); urinary infection rate.
Results The nursing satisfaction of the patients in the observation group was 96.7% (29/30), and the nursing satisfaction of the patients in the control group was 73.3% (22/30), and the difference was statistically significant (P<0.05). There was no significant difference in the anxiety score and depression score of the patients (P>0.05). After nursing, the anxiety score and depression score of the observation group were lower than those of the control group, and the difference was statistically significant (P<0.05); Before nursing, there was no significant difference in the scores of the urostomy self-care scale between the two groups (P>0.05). After nursing, the scores of the urostomy self-care scale in the observation group were higher than those in the control group. There was statistical significance (P<0.05); before nursing, there was no significant difference in the quality of life score between the two groups (P>0.05). After nursing, the quality of life score of the observation group was higher than that of the control group, the difference was There was statistical significance (P<0.05); the urinary infection rate of the observation group was 0.0% (0/30), and the urinary infection rate of the control group was 20.0% (6/30), and the difference was statistically significant (P<0.05). 0.05).
Conclusion   High-quality nursing for urological patients can effectively improve the nursing effect, improve negative emotions and quality of life, and reduce the rate of urinary infection, which is worthy of promotion.