临床医学工程
臨床醫學工程
림상의학공정
CLINICAL MEDICAL ENGINEERING
2014年
5期
627-628
,共2页
预见性护理%急性脑梗死%留置尿管
預見性護理%急性腦梗死%留置尿管
예견성호리%급성뇌경사%류치뇨관
Predictive nursing%Acute cerebral infarction%Indwelling catheter
目的：探讨根据急性脑梗死留置尿管患者并发感染的易感因素，提前采取相应的针对性预见性护理措施对减少留置尿管相关并发症的意义。方法选取我院2011年3月至2013年3月收治的急性脑梗死留置尿管患者220例，随机平均分为干预组和对照组，干预组患者根据分析留置尿管并发感染的高危因素相应给予有效的针对性护理干预措施，对照组给予常规护理措施，比较两组的护理效果和留置尿管并发症的发生情况。结果干预组留置尿管患者并发症总发生率为36.36%，其中并发尿路感染17.27%，并发尿液外渗10.0%，与对照组比较均有统计学差异(P<0.05)。干预组患者的护理总满意度为99.09%，明显高于对照组(P<0.05)。另在本研究39例发生尿液外渗的患者中有74.36%并发感染，而未发生尿液外渗患者并发感染占13.81%，尿液外渗患者并发感染的发生率显著高于无尿液外渗患者(P<0.05)。结论根据急性脑梗死留置尿管可能出现的并发症，提前采取针对性预见性护理措施，可降低并发症发生率，显著提高患者生活质量；而有尿液外渗患者更易并发尿路感染。
目的：探討根據急性腦梗死留置尿管患者併髮感染的易感因素，提前採取相應的針對性預見性護理措施對減少留置尿管相關併髮癥的意義。方法選取我院2011年3月至2013年3月收治的急性腦梗死留置尿管患者220例，隨機平均分為榦預組和對照組，榦預組患者根據分析留置尿管併髮感染的高危因素相應給予有效的針對性護理榦預措施，對照組給予常規護理措施，比較兩組的護理效果和留置尿管併髮癥的髮生情況。結果榦預組留置尿管患者併髮癥總髮生率為36.36%，其中併髮尿路感染17.27%，併髮尿液外滲10.0%，與對照組比較均有統計學差異(P<0.05)。榦預組患者的護理總滿意度為99.09%，明顯高于對照組(P<0.05)。另在本研究39例髮生尿液外滲的患者中有74.36%併髮感染，而未髮生尿液外滲患者併髮感染佔13.81%，尿液外滲患者併髮感染的髮生率顯著高于無尿液外滲患者(P<0.05)。結論根據急性腦梗死留置尿管可能齣現的併髮癥，提前採取針對性預見性護理措施，可降低併髮癥髮生率，顯著提高患者生活質量；而有尿液外滲患者更易併髮尿路感染。
목적：탐토근거급성뇌경사류치뇨관환자병발감염적역감인소，제전채취상응적침대성예견성호리조시대감소류치뇨관상관병발증적의의。방법선취아원2011년3월지2013년3월수치적급성뇌경사류치뇨관환자220례，수궤평균분위간예조화대조조，간예조환자근거분석류치뇨관병발감염적고위인소상응급여유효적침대성호리간예조시，대조조급여상규호리조시，비교량조적호리효과화류치뇨관병발증적발생정황。결과간예조류치뇨관환자병발증총발생솔위36.36%，기중병발뇨로감염17.27%，병발뇨액외삼10.0%，여대조조비교균유통계학차이(P<0.05)。간예조환자적호리총만의도위99.09%，명현고우대조조(P<0.05)。령재본연구39례발생뇨액외삼적환자중유74.36%병발감염，이미발생뇨액외삼환자병발감염점13.81%，뇨액외삼환자병발감염적발생솔현저고우무뇨액외삼환자(P<0.05)。결론근거급성뇌경사류치뇨관가능출현적병발증，제전채취침대성예견성호리조시，가강저병발증발생솔，현저제고환자생활질량；이유뇨액외삼환자경역병발뇨로감염。
Objective To explore the significance of predictive nursing measures corresponding to prediposing factors for reducing the prevalence of indwelling-catheter-related complications in acute cerebral infarction patients with indwelling catheters. Methods We selected 220 acute cerebral infarction patients with indwelling catheters in our hospital from Mar. 2011 to Mar. 2013 who were randomly divided into intervention group and control group, with 110 patients in each group. The intervention group was given effective corresponding nursing measures for indwelling catheters risk factors with concurrent infections, while the control group received regular nursing. Nursing effect and the occurrence of indwelling-catheter-related complications were compared between the two groups. Results Rate of total complications occurrence in the intervention group was 36.36%(17.27%urinary tract infection and 10.0%urine extravasation), significantly lower than the control group (P<0.05). And the rate of sactisfaction with nursing of the intervention group was 99.09%, significantly higher than that of the control group (P<0.05). Besides, The prevalence of infection in the patients with urine extravasation was significantly higher than that of the patients without urine extravasation. 74.36%of the 39 patients with urine extravasation got infected while just 13.81%of patients without urine extravasation got infected (P<0.05). Conclusions Providing advanced predictive nursing measures corresponding to possible complications for the patients with acute cerebral infarction can reduce the complications rate and significantly improve the quality of life. Additionally, the patients with urine extravasation are more susceptible to concurrent urinary tract infections.
