摘要
目的探讨神经外科留置尿管患者发生尿路感染的相关危险因素,以减少和预防尿路感染的发生。方法回顾性分析2012年5月-2014年1月我院神经外科205例留置尿管患者的临床资料,对可能发生尿路感染的相关因素进行Logistic多元回归分析。结果 205例留置尿管患者中发生尿路感染18例,发生率8.78%。Logistic多元回归分析尿路感染的相关危险因素包括:≥60岁、女性、意识障碍、留置尿管≥10d、预防应用抗生素、尿道口清洗。结论神经外科住院患者发生尿路感染的影响因素较多,管理好老年患者,加强女性患者尿管护理,尽可能缩短尿管留置时间,控制预防性抗生素的应用,坚持尿道口清洗,可以有效预防和减少尿路感染的发生。
Objective To study the related risk factors for urinary track infection for patients with indwelling uri- nary catheter after neurosurgery, and designate the nursing management measure according to the factors in order to reduce and prevent the occurrence of the infection. Method Clinical data of 205 patients with the indwelling urinary catheter from May 2012 to January 2014 at the department of neurosurgery in our hospital were retrospectively ana- lyzed. Potential factors related to urinary track infection were analyzed with logistic multiple regression analysis. Afterwards, corresponding nursing intervention measures were designed. Result Of the 205 patients, there were 18 patients with urinary tract infection. The incidence was 8.78%. Logistic multiple regression analysis showed that age （≥60 years old）, female, disorders of consciousness and time of indwelling catheter （≥10 days）, prophylactic antibiotics and urethral orifice cleaning were all the risk factors. Conclusion There are numerous factors affecting uri- nary track infection for inpatients at neurosurgery department. It may effectively prevent and reduce the occurrence of infection by well managing elder patients, intensively caring female patients, shortening the indwelling catheter time, controlling prophylactic antibiotics and insisting on the urethral orifice cleaning.
出处
《护士进修杂志》
2015年第4期295-297,共3页
Journal of Nurses Training
关键词
留置尿管
尿路感染
危险因素
护理干预
Indwelling urinary catheter
Urinary tract infection
Risk factor
Nursing intervention
