中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
14期
69-72
,共4页
吴玉娥%张建荣%黄晓婷%何彩霞%郭长琼
吳玉娥%張建榮%黃曉婷%何綵霞%郭長瓊
오옥아%장건영%황효정%하채하%곽장경
老年%残余尿%护理干预
老年%殘餘尿%護理榦預
노년%잔여뇨%호리간예
Elderly%Residual urine%Nursing intervention
目的：通过对住院老年患者进行残余尿的测定，及时进行个体化护理干预，从而降低尿路感染的发生率。方法：将200例老年患者随机分为观察组和对照组，每组各100例；观察组按照科室的流程利用膀胱机进行残余尿的测定，根据测定结果进行及时的护理干预，对照组按护士的经验进行触诊判断患者是否有残余尿；分别对两组患者进行尿管留置时间、尿路感染发生率及患者满意度进行比较。结果：观察组进行标准的残余尿测定及个体化的护理干预后，尿管的留置时间及尿路感染发生率明显低于对照组，且观察组患者的满意度明显高于对照组，两组比较差异有统计学意义（P<0.05）。结论：残余尿量的正确测定不仅有利于疾病的诊断和治疗，同时缩短了留置尿管的时间，降低了尿路感染的发生率，减少了住院患者的费用，提高了患者的满意度。
目的：通過對住院老年患者進行殘餘尿的測定，及時進行箇體化護理榦預，從而降低尿路感染的髮生率。方法：將200例老年患者隨機分為觀察組和對照組，每組各100例；觀察組按照科室的流程利用膀胱機進行殘餘尿的測定，根據測定結果進行及時的護理榦預，對照組按護士的經驗進行觸診判斷患者是否有殘餘尿；分彆對兩組患者進行尿管留置時間、尿路感染髮生率及患者滿意度進行比較。結果：觀察組進行標準的殘餘尿測定及箇體化的護理榦預後，尿管的留置時間及尿路感染髮生率明顯低于對照組，且觀察組患者的滿意度明顯高于對照組，兩組比較差異有統計學意義（P<0.05）。結論：殘餘尿量的正確測定不僅有利于疾病的診斷和治療，同時縮短瞭留置尿管的時間，降低瞭尿路感染的髮生率，減少瞭住院患者的費用，提高瞭患者的滿意度。
목적：통과대주원노년환자진행잔여뇨적측정，급시진행개체화호리간예，종이강저뇨로감염적발생솔。방법：장200례노년환자수궤분위관찰조화대조조，매조각100례；관찰조안조과실적류정이용방광궤진행잔여뇨적측정，근거측정결과진행급시적호리간예，대조조안호사적경험진행촉진판단환자시부유잔여뇨；분별대량조환자진행뇨관류치시간、뇨로감염발생솔급환자만의도진행비교。결과：관찰조진행표준적잔여뇨측정급개체화적호리간예후，뇨관적류치시간급뇨로감염발생솔명현저우대조조，차관찰조환자적만의도명현고우대조조，량조비교차이유통계학의의（P<0.05）。결론：잔여뇨량적정학측정불부유리우질병적진단화치료，동시축단료류치뇨관적시간，강저료뇨로감염적발생솔，감소료주원환자적비용，제고료환자적만의도。
Objective: To determine timely individualized nursing intervention by residual urine in hospitalized elderly patients, so as to reduce the incidence of urinary tract infection.Method: The 200 hospitalized elderly patients were randomly divided into observation group and control group, 100 cases in each group.The observation group of residual urine was measured according to the process of residual urine in bladder scan and the nursing intervention was determined by in time according to the measured results. The residual urine in the control group patients were estimated by residual urine palpation according to the experience of nurses. Indwelling catheter time, the incidence of urinary tract infection andthe patient satisfaction were compared with two groups.Result: The observation group of residual urine accurately measure and individual intervention , catheter indwelling time and the urinary tract infection were significantly lower than the control group, and the satisfaction in the observation group was significantly higher than the control group,the differences were statistically significant(P<0.05).Conclusion:The accurately measure of residual urine not only conducive to the diagnosis and treatment of diseases, but also shorten the indwelling catheter time, reduce the incidence of urinary tract infection, medical costs and improve patient satisfaction.
