针对性干预对脑卒中患者导尿管相关 尿路感染、睡眠质量的影响

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The Impact of Targeted Intervention on Catheter-associated Urinary Tract Infections and Sleep Quality in Stroke Patients

LIU Jinxia，LIU Baoying，ZENG Yile

（Second Affiliated Hospital of Fujian Medical University，Quanzhou 362OOO，China）

AbstractObjective：Toexploretheefectsof targeted interventiononcatheter-asociatedurinarytractinfection（CAUT）and sleepqualityinstrokepatients.Methods：Atotalof2O2 strokepatients withindwellingurinarycathetersadmitedtotheNeurosurgeryDepartmentoftheSecondAfiliated HospitalofFujian Medical UniversityfromOctober2O2 toOctober2O24 wereselected asthe study subjects. They were randomly divided into a control group（ n=100 ）and an observation group（ n=102 ）using a randomnumbertable method.Thecontrolgroupreceivedroutine nursing intervention，whiletheobservationgroupreceivedtargeted nursing intervention.ThePitsburgh SleepQuality Index（PSQI）wasusedtocomparethediferences insleequalitybetween two groupsof patients.The incidenceofCAUTwasstatisticallyanalyzedandrecorded basedonclinicalconditions.Thecatheterindwelling timeand hospitalizationwere alsoanalyzed.Results：After intervention，tePSQIscoreoftheoservationgroup wasignificantlylower thanthatof thecontrol group，and the diference between the two groups was statisticallysignificant（ P<0.05 ） .TheincidenceofCAUTIintheobservation group wassignificantlylower than thatinthecontrolgroup，andthediferencebetween the two groups was statistically significant（ P<0.05 ）.After intervention，the indwelling time of the catheter in the observation groupwassignificantlyshorterthanthatinthecontrolgroup，andthediferencebetwenthetwogroupswasstatisticallysignificant（ P<0.05 ）.However，after intervention，there was no statistically significant diference inhospitalization time between the two groups（ P>0.05 ）. Conclusion：The application of targeted nursing in stroke patients can effctively improve sleep quality， significantlyeducetheincidenceofCAUT，ndshortenthecatheterindwelingtime，whichcontributes totheimprovementofpatient prognosis. It is worth promoting and applying.

KeywordsTargetednursing；Stroke；Catheter-asociatedurinarytract infection；Sleepquality；Lengthofhospital stay；Nursing effectiveness ； Indwelling urinary catheter;Application value

中图分类号：R338.63;R743.3 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.08.018

脑卒中作为一种高致残率、高致死率的脑血管疾病，对患者的身心健康构成严重威胁。（剩余4668字）