中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
Chinese Journal of Practical Nursing
2015年
20期
1510-1512
,共3页
高业兰%陈永惠%吴君丽%张伟
高業蘭%陳永惠%吳君麗%張偉
고업란%진영혜%오군려%장위
重症监护病房%腹泻%尿路感染%尿路造口袋
重癥鑑護病房%腹瀉%尿路感染%尿路造口袋
중증감호병방%복사%뇨로감염%뇨로조구대
Intensive care unit%Diarrhea%Urinary tract infection%Urinary ostomy bag
目的 分析尿路造口袋对降低ICU腹泻患者尿路感染发生的效果.方法 选择2013年6月至2014年5月收治的危重患者中发生腹泻同时留置导尿管的患者445例,按入院后发生腹泻的时间顺序随机分为观察组219例,对照组226例.观察组采用尿路造口袋连接防逆引流装置的方法,对照组采用传统肛周护理方法.比较2组患者尿路感染的发生率及2组尿路感染患者尿培养结果.结果 观察组患者尿路感染的发生率为5.5％(12/219),明显低于对照组的10.6％ (24/226),2组比较,x2=3.952,P＜0.05,差异有统计学意义.观察组患者尿培养结果中肠道菌株4例,对照组为17例,2组比较,x2=4.629,P＜0.05,差异有统计学意义.结论 尿路造口袋连接防逆引流装置可以有效降低腹泻患者尿路感染的发生率,且操作简单,既减轻了护士的工作量,又增加了患者的舒适度,值得临床推广应用.
目的 分析尿路造口袋對降低ICU腹瀉患者尿路感染髮生的效果.方法 選擇2013年6月至2014年5月收治的危重患者中髮生腹瀉同時留置導尿管的患者445例,按入院後髮生腹瀉的時間順序隨機分為觀察組219例,對照組226例.觀察組採用尿路造口袋連接防逆引流裝置的方法,對照組採用傳統肛週護理方法.比較2組患者尿路感染的髮生率及2組尿路感染患者尿培養結果.結果 觀察組患者尿路感染的髮生率為5.5％(12/219),明顯低于對照組的10.6％ (24/226),2組比較,x2=3.952,P＜0.05,差異有統計學意義.觀察組患者尿培養結果中腸道菌株4例,對照組為17例,2組比較,x2=4.629,P＜0.05,差異有統計學意義.結論 尿路造口袋連接防逆引流裝置可以有效降低腹瀉患者尿路感染的髮生率,且操作簡單,既減輕瞭護士的工作量,又增加瞭患者的舒適度,值得臨床推廣應用.
목적 분석뇨로조구대대강저ICU복사환자뇨로감염발생적효과.방법 선택2013년6월지2014년5월수치적위중환자중발생복사동시류치도뇨관적환자445례,안입원후발생복사적시간순서수궤분위관찰조219례,대조조226례.관찰조채용뇨로조구대련접방역인류장치적방법,대조조채용전통항주호리방법.비교2조환자뇨로감염적발생솔급2조뇨로감염환자뇨배양결과.결과 관찰조환자뇨로감염적발생솔위5.5％(12/219),명현저우대조조적10.6％ (24/226),2조비교,x2=3.952,P＜0.05,차이유통계학의의.관찰조환자뇨배양결과중장도균주4례,대조조위17례,2조비교,x2=4.629,P＜0.05,차이유통계학의의.결론 뇨로조구대련접방역인류장치가이유효강저복사환자뇨로감염적발생솔,차조작간단,기감경료호사적공작량,우증가료환자적서괄도,치득림상추엄응용.
Objective To analyze the effect of urinary ostomy bag on reduction of urinary tract infection in ICU patients with diarrhea.Methods A total of 445 diarrhea patients with indwelling catheter were admitted from June 2013 to May 2014,patients were divided into two groups according to the occurrence of diarrhea after admission,219 cases were in the observation group,226 cases were in the control group.The observation group used urinary tract ostomy bag connected with Kangwei anti-inverse drainage device,the control group used traditional methods of perianal care.Then,the incidence of urinary tract infection between two groups and the results of urine culture between patients of two groups with urinary tract infection were compared.Results The incidence of urinary tract infection in the observation group was 5.5％ (12/219),significantly lower than that of the control group,10.6％ (24/226),x2=3.952,P＜0.05.The urine culture results showed that 4 cases were intestinal strains in the observation group,and 17 cases in the control group,the difference was significant,x2=4.629,P＜0.05.Conclusions Urinary tract ostomy bag connected with Kangwei anti-inverse drainage device can effectively reduce the incidence of urinary tract infection in patients with diarrhea,it is simple to operate,and can reduce the workload of nurses and increase the comfort degree of patients,which is worthy of clinical application.
