CAJ | 학술논문

目的探讨留置导尿管患者更换集尿袋的最佳时间.方法将90例颅脑外科需留置导尿管患者随机分为A、B、C3组各30例.A组每3d更换1次集尿袋；B组每7d更换1次集尿袋；C组每14 d更换1次集尿袋.分别于入院当日及入院后第5、8、11、14天采集3组病例尿液进行细菌培养,并对培养阳性率进行比较.结果 3组病例尿细菌培养阳性率比较差异无统计学意义.结论留置导尿管患者集尿袋更换时间可以延长至14 d,与更换尿管同步进行,可以减少细菌上行感染,降低医院感染率；节省医疗费用；减轻护理人员的劳动强度,提高社会和经济效益.
목적 탐토류치도뇨관환자경환집뇨대적최가시간.방법 장90례로뇌외과수류치도뇨관환자수궤분위A、B、C3조각30례.A조매3d경환1차집뇨대；B조매7d경환1차집뇨대；C조매14 d경환1차집뇨대.분별우입원당일급입원후제5、8、11、14천채집3조병례뇨액진행세균배양,병대배양양성솔진행비교.결과 3조병례뇨세균배양양성솔비교차이무통계학의의.결론 류치도뇨관환자집뇨대경환시간가이연장지14 d,여경환뇨관동보진행,가이감소세균상행감염,강저의원감염솔；절성의료비용；감경호리인원적노동강도,제고사회화경제효익.
Objective To investigate the best time interval for replacement of urine collection bags for patients with indwelling catheter. Methods 90 patients in brain surgery department with indwelling catheter were randomly divided into group A,B,C,group A replaced urine collection bags every 3 days,group B replaced urine collection bags every 7 days,group C replaced urine collection bags every 14 days.Urine samples were gathered in three groups of patients for bacterial culture on the admission day,the 5th,the 8th,the 11th and the 14th day respectively,and the positive rates of bacterial culture were compared.Results The positive rates of urinary bacterial culture in three groups were not significantly different by statistical analysis. Conclusions Replacement time of urine collection bags for patients with indwelling catheter may be extended to 14 days,and may be synchronization with the replacement time of urine catheters.This can reduce bacterial ascending infection,decrease nosocomial infection rate,save health care costs,reduce the labor intensity of the nursing staff,improve the social and economic benefits.