Effects of cluster six nursing on catheter-associated urinary tract infection in critically ill patients

Ran Zhao, Jibin Sui

Abstract

The objective of this study was to assess the impact of cluster nursing on catheter-associated urinary tract infection (CA-UTI) in critically ill patients. Sixty critically ill patients with CA-UTI admitted to Affiliated Hospital of Beihua University from January 2020 to December 2021 were randomly separated into observation group (OG) and control group (CG). The CG accepted routine intensive care unit (ICU) nursing. The OG accepted cluster nursing management in addition to ICU nursing. Relative to the CG, the OG had lower mortality rate, shorter hospitalization time, lower incidence of complications, better improvements of the levels of serum creatinine (Scr), urine creatinine (Ucr) and blood urea nitrogen (BUN), higher satisfaction score, lower Acute Physiology and Chronic Health Evaluation (APACHE) Ⅱ score, higher scores of quality of life and Barthel Index (BI) , and lower depression and anxiety scores. We conclude that cluster nursing can improve the renal function, and improve the prognosis, psychological status, and the quality of life in critically ill patients with urinary tract infections.

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