留置导尿患者并发尿路感染原因分析及护理(1)
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[摘要] 目的：探讨不同护理方式对留置导尿患者尿路感染的疗效影响，为预防尿路感染提供依据。方法：将2009年1月～2010年6月在本院治疗的98例留置尿管患者随机分成两组，观察组49例患者给予循证护理，对照组49例患者给予常规护理模式，对比观察两组尿液细菌培养结果。结果：循证护理组在第7天和第14天的尿路感染发生率均显著低于对照组，两组间的差异均具有统计学意义(P<0.05)。两组干预前SAS、HAMA评分均无统计学意义(P>0.05)，护理后两组的SAS评分、HAMA评分均有不同程度的降低。干预后，循证护理组的心理状况优于对照组，且两组间的差异无统计学意义(P>0.05)。结论：积极探讨留置导尿患者尿路感染的原因，并实施相应的护理措施，能够有效减轻泌尿系统感染率，循证护理的效果优于常规护理。
[关键词] 尿路感染；尿管；护理；原因分析
[中图分类号] R69[文献标识码]C [文章编号]1674-4721(2011)04(b)-098-02
Tetanus infection in patients with tracheotomy and nursing analysis
XIONG Fengming, HAN Aihua*
The Second Affiliated Hospital of North Sichuan Medical College (Hospital of Sichuan Mianyang Four Zero Four), Sichuan Province, Mianyang 621000, China
[Abstract] Objective: To investigate the efficacy of different nursing methods to patients with urinary tract infection, providing basis for the prevention of urinary tract infections. Methods: 98 patients with indwelling catheter treated in our hospital in January 2009 to June 2010 were randomly divided into two groups. 49 patients in observation group, who were given evidence-based care, while 49 patients in control group were received routine care model, of the urine culture results of two groups were observed and compared. Results: The urinary tract infection rate of evidence-based nursing group at 7 and 14 days were significantly lower than control group, and the difference between the two groups was statistically significant (P<0.05). SAS, HAMA scores before intervention of two groups had not statistically significant (P>0.05), the SAS scores and HAMA scores in both groups were significantly lower after the treatment. After the intervention, the psychological status of evidence-based care group was better than the control group, and the difference between two groups were not significant (P>0.05). Conclusion: To explore the causes of urinary tract infection, and appropriate nursing interventions can reduce the urinary infection rate. The effect of the evidence-based nursing is better than conventional nursing.
[Key words] Urinary tract infection; Catheter; Nursing; Analysis ......
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