The Effect of Promoting Nursing Care on Prevention Catheter Associated Urinary Tract Infection in Inpatient Unit, Sriprachan Hospital

Abstract

The quasi-experimental research was to study the effect of promoting nursing care for prevention catheter associated urinary tract infection in In-Patients unit, Si Prachan Hospital. Sample size classification was proceeded as two groups. Group I: In-Patients who got an effect of promoting nursing care for prevention catheter from October 2016 to September 2017 and Group II: In-Patients who got basically of nursing care practice from October 2017 to September 2018. T-test was a statistically method for analyzing implement the outcome of CAUTI incident versus the length of indwelling catheterizations before infectious in each group.

The results found that Group I patients for 73.75 % aged over 60 years, and the length of indwelling catheterization was 8.59 days. Group II patients for 77.50 % aged over 60 years, and the length of indwelling catherization was 7.64 days. Group I’s CAUTI incident was 2,555:1,000 days of indwelling catherization, for 55.56% as Female, Length of indwelling catherization was 43.89 days, and the length of indwelling catheterizations before infectious (CAUTI) was 29.11 days (SD =22.4). As Group II patients, CAUTI incident was 2,070:1,000 days of indwelling catherization, for 42.86 % as Female, but the length of indwelling catherization was 40.71 days which the length of indwelling catheterizations before infectious (CAUTI) was 5.29 days (SD =1.70). As a results of comparison 2 groups in length of indwelling catheterizations before infectious has shown in difference statistically significant (p< 0.05); however, CAUTI incidents of 2 groups has shown in difference nonsignificant (P> 0.05).

Study conclusion was to promoting nursing care to prevent CAUTI which may extend the length of indwelling urinary catheterization before infection. Therefore, Nursing Unit and the Infectious control member should set a monitoring team for patients whose need of indwelling urinary catheterization in long term, also with finding a promotive measurement in nursing care for CAUTI prevention continuously.