Application of evidence based nursing practice in reducing the urinary catheter extraction related complications in coronary artery bypass surgery patients
10.3760/cma.j.issn.1674-2907.2018.02.002
- VernacularTitle:循证护理实践在减少冠脉搭桥手术患者尿管拔除相关并发症中的应用
- Author:
Lin CHEN
1
;
Xiangdi REN
;
Jing ZHENG
Author Information
1. 山东大学附属省立医院心外ICU
- Keywords:
Urinary catheterization;
Coronary artery bypass;
off-pump;
Urinary catheter removal;
Evidence-based nursing;
Complications
- From:
Chinese Journal of Modern Nursing
2018;24(2):130-137
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of evidence based nursing practice in reducing the urinary catheter extraction related complications in coronary artery bypass surgery patients and its application effects. Methods A total of 160 patients who underwent coronary artery bypass surgery from September 2015 to June 2016 in Cardiosurgery Department of a Class Ⅲ Grade A hospital in Shandong Province were selected as research objects by convenience sampling method, and divided into control group (n=84) and observation group (n=76). The control group received conventional extubation method, and the observation group adopted evidence-based nursing practice to remove catheter. Pain scores after extubation, the first micturition time after extubation and complications after extubation (including hematuria, dysuria, urinary retention and urinary incontinence) were observed between two groups. Results The extubation pain score of the observation group was (1.61±1.19), which was lower than that of the control group (4.52±1.04), with statistical significance (t=58.264,P<0.05). The first micturition time after extubation was (3.39±1.49) hours, which was shorter than that of the control group (4.79±6.72) hours, with statistical significance (t=2.620,P<0.05). In the observation group, the incidences of dysuria and urine retention were 0, and those in the control group were 7.14% and 8.33% respectively, and the differences were statistically significant (χ2=0.029,0.014;P< 0.05). There was no significant difference in the incidence of hematuria (observation group 1.32% vs. control group 3.57%) and urinary incontinence (observation group 0 vs. control group 0) after extubation between the two groups (P>0.05). Conclusions Evidence based nursing is helpful to explore the methods and strategies of reducing complications related to catheter removal in patients undergoing coronary artery bypass graft surgery, which is of great significance to improve the level of clinical nursing.
