护理干预能降低导尿管相关尿路感染

目的探讨护理干预与导尿管相关尿路感染(CAUTI)。方法神经内科90例留置导尿患者随机分为观察组和对照组,观察组遵医嘱采取常规护理,对照组采取护理干预,两组均于24 h、7 d、14 d即每周采集尿液行中段尿培养,将两组患者菌尿症感染率作对比。结果对照组45例,菌尿症7例,感染率15.6%。观察组45例,菌尿症15例,感染率33.3%。导尿管相关尿路感染(CAUTI)与患者的性别、年龄、导尿管留置时间、膀胱冲洗、更换集尿袋时间、尿道口清洁度、基础性疾病有关。结论护理干预能降低患者留置尿管期间CAUTI的感染率,减少患者住院费用,减轻患者痛苦,提高护理质量。

The Nursing Intervention Can Reduce the Catheter Associated Urinary Tract Infection

Objective To explore the nursing intervention and catheter associated urinary tract infection（CAUTI）. Methods 90 cases of neurological department of internal medicine indwelling catheter were randomly divided into the observation group and the control group, the observation group was prescribed for routine care, the control group took the nursing intervention, two groups were in 24 h,7 days, 14 days weekly urine collection for urine culture, the two groups of patients with bacteriuria infection rate for comparison. Results 45 cases in the control group, 7 cases of asymptomatic bacteriuria, the infection rate was 15.6%. The observation group of 45 cases, 15 cases of asymptomatic bacteriuria, the infection rate was 33.3%. Catheter associated urinary tract infection（CAUTI）and patient sex, age, indwelling catheter time, bladder irrigation, the replacement of the urine collection bag, urethral mouth cleanliness, basic diseases. Conclusion Nursing intervention can reduce the patients with indwelling catheter during CAUTI infection rate, reduce the cost of hospitalization, to alleviate the suffering of patients, improve the quality of nursing care.