CAJ | 학술논문

目的：观察导尿管留置后尿道口不同护理方法的效果。方法将留置导尿管的恶性肿瘤危重患者100例按入住ICU顺序编号，根据随机数字表法分为试验组和对照组各50例。对照组予0.05%碘伏棉球擦拭清洁尿道口、尿管及其周围皮肤黏膜，试验组在擦拭的同时用0.05%碘伏液冲洗尿道口、尿管及其周围皮肤黏膜。对2组患者UTI、无症状菌尿发生情况及发生时间，患者的舒适度及满意度进行统计。结果2组患者留置导尿管后第1周内发生无症状菌尿例数、UTI例数差异有统计学意义（P<0.05）；患者的满意度、舒适度差异有统计学意义（P<0.05）。结论对留置导尿管后的患者进行尿道口擦洗加冲洗，不仅可以提高患者的满意度、舒适度，而且可以延缓UTI的发生，为患者的治疗赢得时间，从而减少并发症的发生。
목적：관찰도뇨관류치후뇨도구불동호리방법적효과。방법장류치도뇨관적악성종류위중환자100례안입주ICU순서편호，근거수궤수자표법분위시험조화대조조각50례。대조조여0.05%전복면구찰식청길뇨도구、뇨관급기주위피부점막，시험조재찰식적동시용0.05%전복액충세뇨도구、뇨관급기주위피부점막。대2조환자UTI、무증상균뇨발생정황급발생시간，환자적서괄도급만의도진행통계。결과2조환자류치도뇨관후제1주내발생무증상균뇨례수、UTI례수차이유통계학의의（P<0.05）；환자적만의도、서괄도차이유통계학의의（P<0.05）。결론대류치도뇨관후적환자진행뇨도구찰세가충세，불부가이제고환자적만의도、서괄도，이차가이연완UTI적발생，위환자적치료영득시간，종이감소병발증적발생。
Objective To observe the effect of different methods on urethral orifice care after indwelling catheter. Methods 100 cases of critically ill patients with malignant tumor and indwelling urinary catheters were divided into test group and control group,each of 50 cases,according to random number table method. The control group was wiped and cleaned the urethral opening,urine tube and its surrounding skin mucous membrane with 0. 05% iodine volts cotton swab. Based on the control group,the test group was washed the urethral opening,urine tube and its surrounding skin mucous membrane with 0. 05% iodine volts fluid. The UTI,occurrence and the occurrence time of asymptomatic bacteriuria,patientˊs comfort and satis-faction of 2 groups were compared. Results There was significant difference of the number of asymptomatic bacteriuria cases and UTI cases within 1 week between 2 groups(P<0. 05). The difference of patient satisfaction,comfort was statistically sig-nificant(P<0. 05). Conclusion Scrubing and flushing for patients with indwelling urinary catheters not only can improve the patientsˊsatisfaction,comfort,and can delay the onset of UTI,and win time for the treatment of patients,in order to reduce the occurrence of complications.