Volume 21 Issue 9
Sep.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(9): 1621-1624
WANG Haiyan, HONG Lijuan, WANG Shengxing, XU Siyi, LIANG Peiyu. Risk factors of urinary tract infections after radical prostatectomy for prostate cancer and PDCA nursing strategy analysis[J]. Chinese Journal of General Practice, 2023, 21(9): 1621-1624. doi: 10.16766/j.cnki.issn.1674-4152.003184
Citation: WANG Haiyan, HONG Lijuan, WANG Shengxing, XU Siyi, LIANG Peiyu. Risk factors of urinary tract infections after radical prostatectomy for prostate cancer and PDCA nursing strategy analysis[J]. Chinese Journal of General Practice, 2023, 21(9): 1621-1624. doi: 10.16766/j.cnki.issn.1674-4152.003184
shu

Risk factors of urinary tract infections after radical prostatectomy for prostate cancer and PDCA nursing strategy analysis

doi: 10.16766/j.cnki.issn.1674-4152.003184

  • Hospital Infection Management Department of the First Affiliated Hospital of Hainan Medical University, Haikou, Hainan 570102, China

Funds:

 ZDYF2019122

  • Received Date: 2023-04-30
    Available Online: 2023-10-19
    Abstract
  •   Objective  To investigate the risk factors of urinary tract infections after radical prostatectomy (RP) and the nursing strategy of the plan-do-check-act (PDCA) cycle management model based on the logistic regression model, and provide reference for postoperative care of RP patients.  Methods  A total of 284 patients with prostate cancer who underwent RP surgery in the First Affiliated Hospital of Hainan Medical University from April 2019 to January 2023 were selected as the study subjects. They were randomly divided into control group and observation group by using radom number table method with 142 cases each. The control group received routine nursing after surgery, while the observation group received PDCA nursing mode on the basis on control group. The incidence of postoperative urinary tract infections between the two groups was compared, and the influencing factors of urinary tract infections after RP surgery were analyzed.  Results  Compared to the control group, the observation group had a higher implementation rate of intervention measures (all P < 0.05) and a lower incidence of urinary tract infections [2.82% (4/142) vs. 13.38% (19/142), P < 0.05]. Univariate analysis and multivariate logistic regression analysis showed that age (≥65 years old), combined with diabetes, operation time (≥90 min), and postoperative catheter retention time (≥5 days) were independent risk factors for postoperative urinary tract infection in RP patients, and nursing program (PDCA circulation management) was the protective factor for postoperative urinary tract infection in RP patients.  Conclusion  The nursing plan (PDCA cycle management) is a protective factor for postoperative urinary tract infections in patients with prostate cancer undergoing radical surgery. Applying PDCA cycle management mode to RP patients can help improve the execution of nursing measures and reduce the risk of postoperative urinary tract infections.

     

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