Effectiveness of cluster nursing intervention in preventing urinary catheter-related urinary tract infections

Li Wang, Yuanyuan Liu, Shuangshuang Li

Abstract

The objective of the study was to investigate the effectiveness of cluster nursing intervention in preventing urinary catheter-related urinary tract infections. Seventy-eight patients with indwelling urethral catheters admitted to Funan County Hospital of Traditional Chinese Medicine from January 2020 to December 2020 were recruited as study participants. They were randomly divided into a control group (routine nursing intervention) and an observation group (cluster nursing intervention). The results showed that compared with the control group, the observation group had better total effectiveness rate, shorter indwelling catheter time, shorter disappearance time of bladder irritation symptoms, higher scores of emotional role, physical health, cognitive ability, social function and quality of life, lower occurrence of adverse catheter events, and higher nursing satisfaction. We conclude that clustered nursing can reduce the occurrence of urinary catheter-related urinary tract infections, promote the quality of life, shorten the duration of catheter indwelling and bladder irritation symptoms, prevent adverse catheter events, and improve nursing satisfaction of patients with patients with indwelling urinary catheters.

Full Text:

PDF

References

Nicolle LE. Urinary Tract Infections in the Older Adult. Clin

Geriatr Med. 2016; 32(3): 523-538.

Chenoweth CE, Gould CV and Saint S. Diagnosis,

management, and prevention of catheter-associated

urinary tract infections. Infect Dis Clin North Am.

; 28(1): 105-119.

Nicolle LE. Urinary tract infection. Crit Care Clin. 2013;

(3): 699-715.

Wagenlehner FME, Bjerklund Johansen TE, Cai T, Koves

B, Kranz J, Pilatz A and Tandogdu Z. Epidemiology,

definition and treatment of complicated urinary tract

infections. Nat Rev Urol. 2020; 17(10): 586-600.

Benton DC, Watkins MJ, Beasley CJ, Ferguson SL and

Holloway A. Evidence-based policy: nursing now

and the importance of research synthesis. Int Nurs

Rev. 2020; 67(1): 52-60.

Jin Q, Zhou Y, Yin D, He H, Liu Y and Wu Y. Effects of

cluster nursing on cardiac function and quality of life

in coronary heart disease patients with chronic heart

failure: A protocol of randomized controlled trial.

Medicine (Baltimore). 2022; 101(14): e29091.

Zurmehly J. Implementing a Nurse-Driven Protocol to

Reduce

Catheter-Associated

Urinary

Tract

Infections in a Long-Term Acute Care Hospital. J

Contin Educ Nurs. 2018; 49(8): 372-377.

Villarejo-Galende A, García-Arcelay E, Piñol-Ripoll G, Del

Olmo-Rodríguez A, Viñuela F, Boada M, Franco

Macías E, Ibañez de la Peña A, Riverol M, Puig

Pijoan A, Abizanda-Soler P, Arroyo R, Baquero

Toledo M, Feria-Vilar I, Balasa M, Berbel Á,

Rodríguez-Rodríguez E, Vieira-Campos A, García

Ribas G, Rodrigo-Herrero S, Terrancle Á, Prefasi D,

Lleó A and Maurino J. Quality of Life and the

Experience of Living with Early-Stage Alzheimer's

Disease. J Alzheimers Dis. 2022; 90(2): 719-726.

Foxman B. The epidemiology of urinary tract infection. Nat

Rev Urol. 2010; 7(12): 653-660.

Van Decker SG, Bosch N and Murphy J. Catheter

associated urinary tract infection reduction in critical

care units: a bundled care model. BMJ Open Qual.

; 10(4):

Clarke K, Hall CL, Wiley Z, Tejedor SC, Kim JS, Reif L,

Witt L and Jacob JT. Catheter-Associated Urinary

Tract Infections in Adults: Diagnosis, Treatment, and

Prevention. J Hosp Med. 2020; 15(9): 552-556.

Reynolds SS, Woltz P, Keating E, Neff J, Elliott J, Hatch

D, Yang Q and Granger BB. Results of the

CHlorhexidine Gluconate Bathing implementation

intervention to improve evidence-based nursing

practices for prevention of central line associated

bloodstream infections Study (CHanGing BathS): a

stepped wedge cluster randomized trial. Implement

Sci. 2021; 16(1): 45.

Soler-Font M, Ramada JM, van Zon SKR, Almansa J,

Bültmann U and Serra C. Multifaceted intervention

for

the

prevention

and management of

musculoskeletal pain in nursing staff: Results of a

cluster randomized controlled trial. PLoS One. 2019;

(11): e0225198.

Beetz R, Stein R, Rohatsch P, Brzezinska R and Thüroff

JW. Acute perirenal extravasation of urine in an

infant with non-refluxing megaureter. Pediatr

Nephrol. 2004; 19(3): 357-360.

Keihani S, Anderson RE, Hotaling JM and Myers JB.

Diagnosis and management of urinary extravasation

after high-grade renal trauma. Nat Rev Urol. 2019;

(1): 54-64.

Parker D, Callan L, Harwood J, Thompson DL, Wilde M

and Gray M. Nursing interventions to reduce the risk

of catheter-associated urinary tract infection. Part 1:

Catheter selection. J Wound Ostomy Continence

Nurs. 2009; 36(1): 23-34.

Tyson AF, Campbell EF, Spangler LR, Ross SW, Reinke

CE, Passaretti CL and Sing RF. Implementation of a

Nurse-Driven Protocol for Catheter Removal to

Decrease Catheter-Associated Urinary Tract

Infection Rate in a Surgical Trauma ICU. J Intensive

Care Med. 2020; 35(8): 738-744.

Refbacks

  • There are currently no refbacks.