Effectiveness of Nurse-Driven Protocols in Reducing Catheter-Associated Urinary Tract Infections: A Systematic Review and Meta-Analysis.

IF 1.2 4区医学 Q3 NURSING

Journal of nursing care quality Pub Date : 2024-10-17 DOI:10.1097/NCQ.0000000000000811

Liangliang Su

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引用次数: 0

Abstract

Background: Catheter-associated urinary tract infections (CAUTIs) are common health care-associated infections linked to indwelling urinary catheters. Nurse-driven protocols (NDPs) empower nurses to direct care without physician orders, potentially enhancing patient outcomes and reducing infection rates.

Purpose: This systematic review and meta-analysis aimed to evaluate the effectiveness of NDPs for preventing CAUTIs and reducing catheter utilization rates.

Methods: Databases searched included Cochrane Library, PubMed, Embase, and others. Ten studies involving 27, 965 NDP-treated patients and 30, 230 controls were reviewed, examining catheter utilization rates and CAUTI incidence.

Results: Use of NDPs significantly lowered catheter utilization rates (34.84% vs 49.40%) and CAUTI incidence (2.867% vs 6.503%). Risk ratio analysis revealed a 29.48% decrease in catheter utilization and a 55.91% reduced CAUTI risk with NDP implementation.

Conclusions: Using NDPs demonstrate superior efficacy in reducing catheter use and CAUTI occurrence compared to traditional methods. Further research is warranted to solidify evidence-based nursing practices in this area.

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护士主导的方案在减少导尿管相关尿路感染方面的效果：系统回顾与元分析》。

背景：导尿管相关性尿路感染（CAUTIs）是与留置导尿管相关的常见医疗相关性感染。目的：本系统综述和荟萃分析旨在评估 NDPs 在预防 CAUTI 和降低导尿管使用率方面的有效性：方法：检索的数据库包括 Cochrane Library、PubMed、Embase 等。对涉及 27965 名接受过 NDP 治疗的患者和 30230 名对照组患者的 10 项研究进行了回顾，考察了导管使用率和 CAUTI 发病率：结果：使用 NDP 可明显降低导管使用率（34.84% 对 49.40%）和 CAUTI 发病率（2.867% 对 6.503%）。风险比分析显示，使用 NDP 后导管使用率降低了 29.48%，CAUTI 风险降低了 55.91%：结论：与传统方法相比，使用 NDP 在降低导管使用率和 CAUTI 发生率方面具有卓越的功效。有必要开展进一步研究，以巩固该领域的循证护理实践。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of nursing care quality 医学-护理

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.