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教育干预以预防机构化老年人的尿路感染。准实验研究。

Educational interventions to prevent urinary infections in institutionalized elderly people. Quasi-experimental Study.

机构信息

Registered Nurse, Ph.D. Assistant Professor, Depto. Ciências da Saúde, Universidade Estadual de Santa Cruz, Bahia-Brasil.

Registered Nurse, Msc. Universidade Estadual de Santa Cruz.

出版信息

Invest Educ Enferm. 2024 Mar;42(1). doi: 10.17533/udea.iee.v42n1e05.

Abstract

OBJECTIVE

To analyze the effectiveness of an educational intervention among nursing professionals and caregivers to prevent urinary tract infections in institutionalized elderly people.

METHODS

this is a quasi-experimental study carried out with 20 people (7 nurses and 13 formal caregivers). A questionnaire was applied during the pre-intervention stage, then professional training was carried out and finally, the questionnaire was reapplied 6 months after the intervention. The prevalence profile and factors associated with urinary infections in 116 elderly people was evaluated before and after the educational interventions. Statistical analysis was performed using association and correlation tests, logistic regression model comparison and prevalence rates.

RESULTS

The average number of correct answers by the nursing professionals and caregivers after the educational intervention increased from the pre to the post-test by 52% regarding signs of urinary infection, 32% regarding its symptoms, 72.5% regarding its treatment, 40% regarding personal/behavioral and morbidity-related risk factors, 59% regarding conditional factors and 43.8% regarding its preventive measures. The team of caregivers showed a greater gain in knowledge compared to the nursing team in almost every question (p<0.05). The length of time working in elderly care showed no positive correlation with any variable (R< p>0.05). The prevalence of urinary tract infection in the pre-intervention period was 33.62%, and 20% in the post-intervention period.

CONCLUSION

The educational intervention was effective in preventing urinary tract infections in the elderly. The increased knowledge acquired by nurses and caregivers was associated with a reduction in the infection rate and an improvement in the most prevalent modifiable factors for the development of this type of pathology.

摘要

目的

分析针对护理专业人员和照护者的教育干预措施在预防机构老年人尿路感染方面的效果。

方法

这是一项准实验研究,共纳入 20 人(7 名护士和 13 名正式照护者)。在干预前阶段应用调查问卷,然后进行专业培训,最后在干预 6 个月后再次应用该问卷。在教育干预前后,评估了 116 名老年人尿路感染的流行情况和相关因素。采用关联和相关性检验、逻辑回归模型比较和患病率进行统计分析。

结果

护理专业人员和照护者在教育干预后的平均正确答案数量从预测试到后测试增加了 52%,与尿路感染的体征有关;32%与症状相关;72.5%与治疗相关;40%与个人/行为和与发病相关的风险因素相关;59%与条件因素相关;43.8%与预防措施相关。与护理团队相比,照护者团队在几乎每个问题上都表现出更大的知识增益(p<0.05)。在老年人护理方面的工作时间长短与任何变量均无正相关关系(R< p>0.05)。在干预前时期,尿路感染的患病率为 33.62%,而在干预后时期为 20%。

结论

教育干预措施在预防老年人尿路感染方面有效。护士和照护者获得的知识增加与感染率降低以及该类型病理发展的最常见可改变因素的改善相关。

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