摘要
目的观察中风后遗症患者留置导尿后不同护理方法下医源性感染的发生率,提出预防对策。方法将中医科住院的中风后遗症行留置导尿的100例患者随机分为试验组及对照组各50例;对照组常规护理,试验组在常规护理基础上进一步采用PDCA循环管理模式对患者进行感染监测管理,观察术后尿道感染感染发生情况。结果经过两个周期监测,对照组患者留置导尿后3、5、7d接口处及尿道口检测细菌阳性率分别为6.00%、10.00%、17.00%、22.00%、27.00%、32.00%,试验组3、5、7d接口处及尿道口检测细菌阳性率分别为0、1.00%、3.00%、8.00%、12.00%、16.00%,两组比较差异有统计学意义(P<0.05);在第2个周期末监测细菌感染情况,对照组患者留置导尿后3、5、7d接口处及尿道口检测细菌阳性率分别为12.00%、16.00%、24.00%、28.00%、36.00%、48.00%,试验组3、5、7d接口处及尿道口检测细菌阳性率分别为0、2.00%、4.00%、12.00%、16.00%、20.00%,两组比较差异有统计学意义(P<0.05)。结论留置导尿后进行规范性护理,有利于减少医源性感染的发生率。
OBJECTIVE To observe the incidence of iatrogenic infections in the patients with stroke sequela of patients after indwelling catheterization under different nursing measures so as to put forward the prevention countermeasures. METHODS A total of 100 patients with stroke sequela who underwent urethral catheterization indwelling were randomly divided into the experiment group and the control with 50 cases in each; the control group was treated with the conventional nursing, while the experiment group was additionally given the PDCA cycle management based on the conventional nursing, and the incidence of postoperative urinary tract infections was observed. RESULTS After two cycles of monitoring, in the control group the positive rate of the bacteria on the outlet was 6.00% on the third day of catheterization indwelling, 10.00%on the fifth day, and 17.00% on the seventh day; the positive rate of the bacteria on urethral opening was 22.00% on the third day of the catheterization indwelling, 27.00% on the fifth day, and 32. 00% on the seventh day; while in the experiment groups, the positive rates of the bacteria on the outlet and the urethral opening were 0, 1.00 % , 3.00 %, 8.00 %, 12.00 %, and 16.00%, respectively, the difference between the two groups was statistically significant （P〈0.05）. At the end of the second cycle,the positive rates of the bacteria on the outlet and the urethral opening on the third, fifth and seventh day of catheterization indwelling were respectively 12.00%, 16.00%, 24.00%, 28.00%, 36.00% ,and 48.00% in the control group and were separately 0, 2.00%, 4. 00%, 12.00%, 16.00%, and 20.00% in the experiment group,the difference between the two groups was statistically significant （P〈0.05）. CONCLUSION Standardized nursing after the indwelling catheterization is conducive to the reduction of iatrogenic infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第10期2319-2321,共3页
Chinese Journal of Nosocomiology
关键词
医源性感染
留置导尿
中风后遗症
Iatrogenic infection
Indwelling catheterization
Apoplexy sequela
