通畅圈对泌尿外科留置导尿患者泌尿系统感染的干预

发布时间：2018-04-05 12:53

本文选题：通畅圈　切入点：泌尿外科　出处：《中华医院感染学杂志》2017年02期

【摘要】：目的探究通畅圈对泌尿外科留置导尿患者泌尿系统感染的干预,为临床治疗提供参考。方法选取2013年7月-2016年6月医院收治的1 185例泌尿外科留置导尿患者为研究对象,2013年7月-2014年12月的603例患者为对照组,采用常规干预方式;2015年1月-2016年6月的582例患者为观察组,采用通畅圈活动,对比两组患者的泌尿系统感染发生率、感染病原菌类型、维护环节质量合格率及患者满意率。结果住院第1~4周对照组患者的泌尿系统感染发生率均显著高于观察组;观察组干预人员各维护环节质量合格率均显著高于对照组干预人员;观察组与对照组患者对干预的满意度分别为96.73%和83.91%,观察组显著高于对照组,差异有统计学意义(P0.05),观察组51例患者共分离出致病菌84株,对照组101例患者共分离出致病菌173株,两组患者的常见感染病原菌均为大肠埃希菌和粪肠球菌。结论通畅圈能够显著降低泌尿外科留置导尿患者泌尿系统感染发生率,提高干预人员干预质量和患者的满意度,可以在临床进一步推广和使用。
[Abstract]:Objective to explore the intervention of unobstructed ring on urinary tract infection in patients with urinary tract indwelling catheterization, and to provide reference for clinical treatment.Methods from July 2013 to June 2016, 1,185 patients with urethral catheterization were selected as study subjects, and 603 patients from July 2013 to December 2014 were selected as control group.582 patients in the observation group from January 2015 to June 2016 were treated with unobstructed circle activity. The incidence of urinary tract infection, the type of pathogenic bacteria, the qualified rate of maintenance link and the satisfaction rate of patients were compared between the two groups.Results the incidence of urinary tract infection in the control group was significantly higher than that in the observation group at the 1st week of hospitalization, and the qualified rate of each maintenance link in the observation group was significantly higher than that in the control group.The satisfaction degree of intervention was 96.73% in the observation group and 83.91% in the control group, which was significantly higher in the observation group than in the control group (P 0.05). 84 strains of pathogenic bacteria were isolated from 51 patients in the observation group and 173 strains were isolated from 101 patients in the control group.The common pathogens were Escherichia coli and Enterococcus faecalis.Conclusion the patency loop can significantly reduce the incidence of urinary system infection in patients with urological indwelling catheterization, improve the quality of intervention and patients' satisfaction, and can be further popularized and used in clinical practice.
【作者单位】：青海省人民医院泌尿外科;
【分类号】：R699

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