当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2015年
3期
118-119
,共2页
留置导尿%尿路感染%危险因素%护理
留置導尿%尿路感染%危險因素%護理
류치도뇨%뇨로감염%위험인소%호리
Indwelling catheter%Urinary tract infection%Risk factors%Nursing
目的：分析导尿管相关尿路感染危险因素，并探讨最佳的护理防控措施。方法对260例留置导尿管的患者采用前瞻性调查方法，调查引起感染相关危险因素。结果260例患者存在尿路感染症状的有38例，尿路感染发生率为14.6%。其中留置导尿时间＜5d患者、≥5d患者尿路感染发生率分别为6.38%、35.57%，两者比较差异有统计学意义(P＜0.01)；＜60岁患者和≥60岁患者尿路感染发生率分别5.43%、29.54%，两者比较差异有统计学意义(P＜0.01)，有基础疾病的患者也是尿路感染高危人群。结论留置导尿时间长、年龄大是导尿管相关尿路感染的主要因素；遵循无菌技术操作原则，严格手卫生管理，尽可能缩短留置导尿管时间，规范留置导尿管管理是预防控制导尿管相关感染的重要措施。
目的：分析導尿管相關尿路感染危險因素，併探討最佳的護理防控措施。方法對260例留置導尿管的患者採用前瞻性調查方法，調查引起感染相關危險因素。結果260例患者存在尿路感染癥狀的有38例，尿路感染髮生率為14.6%。其中留置導尿時間＜5d患者、≥5d患者尿路感染髮生率分彆為6.38%、35.57%，兩者比較差異有統計學意義(P＜0.01)；＜60歲患者和≥60歲患者尿路感染髮生率分彆5.43%、29.54%，兩者比較差異有統計學意義(P＜0.01)，有基礎疾病的患者也是尿路感染高危人群。結論留置導尿時間長、年齡大是導尿管相關尿路感染的主要因素；遵循無菌技術操作原則，嚴格手衛生管理，儘可能縮短留置導尿管時間，規範留置導尿管管理是預防控製導尿管相關感染的重要措施。
목적：분석도뇨관상관뇨로감염위험인소，병탐토최가적호리방공조시。방법대260례류치도뇨관적환자채용전첨성조사방법，조사인기감염상관위험인소。결과260례환자존재뇨로감염증상적유38례，뇨로감염발생솔위14.6%。기중류치도뇨시간＜5d환자、≥5d환자뇨로감염발생솔분별위6.38%、35.57%，량자비교차이유통계학의의(P＜0.01)；＜60세환자화≥60세환자뇨로감염발생솔분별5.43%、29.54%，량자비교차이유통계학의의(P＜0.01)，유기출질병적환자야시뇨로감염고위인군。결론류치도뇨시간장、년령대시도뇨관상관뇨로감염적주요인소；준순무균기술조작원칙，엄격수위생관리，진가능축단류치도뇨관시간，규범류치도뇨관관리시예방공제도뇨관상관감염적중요조시。
Objective To analyse risk factors of catheter associated urinary tract infection, anb explore the best nursing and prevention measures. Methods 260 patients with indwelling catheterization were investigated prospectively tofind the risk factors related to infection.Results Among 260 patients, 38 patients were found symptoms of urinary tract infection, and the incidence rate of urinary tract infection was 14.6%. The incidence rate of urinary tract infection was 6.38% when the time of urethral catheterization was less than 5 days, while the incidence rate was 35.57% when the time of urethral catheterization was equal to or more than 5 days, and there was statistically significant difference between them (P< 0.01). The incidence rate was 5.43% when patients’ age were less than60 years, while the incidence rate was 29.54% when patients’ age were equal to or more than 60 years, and there was statistically significant difference between them (P< 0.01). Patients with underlying diseases were high risk population. Conclusion Indwelling catheter time and patient’s age are main risk factors of catheter associated urinary tract infection. Following the principles of aseptic technique, strict management of hand hygiene, shortening the time of indwelling catheter as far as possible, and standardized management of indwelling catheter are important control and prevention measures for catheter associated infection.
