循证护理对导尿管伴随性尿路感染的护理体会(1)
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[摘要] 目的 探讨循证护理对导尿管伴随性尿路感染的影响。 方法 将我院216例留置尿管的患者随机分成观察组(108例)和对照组(108例)。观察组运用循证护理进行插尿管及留置尿管的护理，对照组按《临床护理技术操作标准》进行插尿管和留置尿管护理。比较两组预防尿路感染的护理方法和预防措施的有效性。 结果 观察组留置尿管第1周和第2周尿路感染发生率较对照组低，但差异无统计学意义(P > 0.05)；而在留置尿管第3周和第4周，观察组尿路感染发生率分别为12.04%、23.15%，对照组分别为25.93%、45.37%，观察组较对照组明显降低，差异有统计学意义(P < 0.05)。 结论 运用循证护理干预进行插尿管及留置尿管的护理，能有效降低尿路感染发生率。
[关键词] 尿路感染；循证护理；干预；泌尿系
[中图分类号] R472 [文献标识码] C [文章编号] 1673-7210(2012)02(c)-0131-02
Clinical nursing of catheter-related urinary tract infection with evidence-based nursing
ZHANG Zhang DAI Xuedi LAN Jun YE Jing
Department of Special Clinic, Dongfang Hospital of Shanghai City, Shanghai 200120, China
[Abstract] Objective To evaluate the influence of catheter-related urinary tract infection with evidence-based nursing. Methods 216 cases of indwelling catheter were randomly divided into observation group (108 cases) and control group (108 cases) in our hospital. The patients in observation group were given interpolating urinary with evidence-based nursing. The patients in control group were given interpolating urinary according to operating standards of clinical nursing technology. The methods of care to prevent urinary tract infection and effectiveness of preventive measures were compared in both groups. Results The incidence of urinary tract infection in observation group with the bladder of indwelling catheter in the first and the second week were lower than those of control group, but there was no significant difference (P > 0.05), and the incidence of urinary tract infection in observation group were 12.04% and 23.15% in the third week and the fourth week respectively, while the incidence of control group was 25.93% and 45.37%, the difference were statistically significant (P < 0.05). Conclusion The use of evidence-based nursing for urinary tract infection with the bladder of indwelling catheter can effectively reduce the incidence of urinary tract infection.
[Key words] Urinary tract infection; Evidence-based nursing; Intervention; Urinary tract
留置导尿管在临床已经广泛使用，其并发症如泌尿系统感染已成为临床面临的问题，若不予以重视，将严重影响患者的健康，故引起临床医务人员的广泛关注。由于其发生不但影响患者的康复，也直接加重患者的经济负担，造成住院时间延长、费用增加、医疗资源的浪费[1]。循证护理(evidence-based nursing，EBN)是护理人员在计划其护理活动过程中，审慎、准确、明智地将科研结论及临床经验和患者愿望相结合 ......
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