CAJ | 학술논문

目的：探讨泌尿外科患儿集尿袋更换频率与尿路感染的相关性以及护理预防对策，从而确定更换患儿集尿袋的最佳频率，降低尿路感染的风险，提高护理质量。方法将82例留置导尿的泌尿外科患儿随机分为试验组和对照组，各41例。试验组患儿集尿袋更换频率为1次/周，对照组患儿集尿袋更换频率为1次/d，追踪监测尿培养，比较分析两组患儿采用不同频率更换集尿袋与尿路感染的发生率之间的关系。结果与对照组相比，试验组在特定时间内尿培养检出阳性例数明显低于对照组，阳性率明显偏低，差异显著（P ＜0.05）。结论选择适当的集尿袋更换频率能够减少污染的机会，降低尿路感染的发生率，有利于提高护理质量，临床上集尿袋更换频率以每周1次较为有效。
목적：탐토비뇨외과환인집뇨대경환빈솔여뇨로감염적상관성이급호리예방대책，종이학정경환환인집뇨대적최가빈솔，강저뇨로감염적풍험，제고호리질량。방법장82례류치도뇨적비뇨외과환인수궤분위시험조화대조조，각41례。시험조환인집뇨대경환빈솔위1차/주，대조조환인집뇨대경환빈솔위1차/d，추종감측뇨배양，비교분석량조환인채용불동빈솔경환집뇨대여뇨로감염적발생솔지간적관계。결과여대조조상비，시험조재특정시간내뇨배양검출양성례수명현저우대조조，양성솔명현편저，차이현저（P ＜0.05）。결론선택괄당적집뇨대경환빈솔능구감소오염적궤회，강저뇨로감염적발생솔，유리우제고호리질량，림상상집뇨대경환빈솔이매주1차교위유효。
Objective To explore the correlation between urinary tract infection and the interval of urine collection bag change,and find the nursing intervention to prevent the infection,decrease the risk of urinary tract infection,improve quality of nursing. Methods 82 cases were randomly divided into two groups randomly,test group and contract group. Change the urine collection bag in different interval with each group and check the urine culture.For test group,the drainage bags were replaced once pre seven days.For contract group,the drainage bags were replaced every day.Finally compare and analysis all positive culture,observe the urinary tract infection rate. Results The rates of positive urine culture were significantly different between the two groups.The urinary tract infection rate on test group is much lower than that of contract group. Conclusion Drainage bags replacement frequency may produce influence on the bacterial contamination and the urinary tract infection rate.So it's important to choose the right interval of urine collection bag change,which may decrease the bacterial contamination and urinary tract infection rate.Improve quality of nursing,so it is the most effective and scientific way to change the urine collection bag every week.