留置导尿患者目标性监测及干预效果评价
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- 英文论文题名：Evaluation of patients with detaining effect of target monitoring and intervention catheterization
- 论文作者：孙秋红 ; 张学敏 ; 张志萍
- 英文论文作者：Zhang Qiuhong ; Zhang Xuemin ; Zhang Zhiping
- 年：2017
- 作者机构：湖北省潜江市中心医院;
- 论文关键词：留置导尿 ; 导尿相关尿路感染 ; 目标监测 ; 高危因素 ; 干预
- 英文论文关键词：indwelling catheter ; catheter related urinary tract infection ; target monitoring ; risk factors ; intervention
- 会议召开时间：2017-05-26
- 会议录名称：2017年《中国组织化学与细胞化学杂志》临床研讨会论文集
- 语种：中文
- 分类号：R472
- 学会代码：ZHXB
- 会议名称：2017年《中国组织化学与细胞化学杂志》临床研讨会
- 会议地点：中国湖北武汉
- 主办单位：《中国组织化学与细胞化学杂志》社有限公司
- 学会名称：《中国组织化学与细胞化学杂志》社有限公司
- 页数：2
- 文件大小：242k
- 原文格式：O
- 会议级别：全国
摘要
目的:降低留置导尿患者感染率。方法:按时间顺序分组,将2015年1—6月223例留置导尿患者设为对照组,7—12月225例设为观察组,对照组行常规护理和感染管理;观察组通过分析对照组感染高危因素对可干预的因素实施干预,包括将乳胶导尿管改硅胶导尿管、缩短置管时间、护理过程中加强手卫生,禁止抗菌药物预防性膀胱冲洗等措施,实施半年后评价效果。结果:观察组留置导尿感染率显著低于对照组(P<0.05)橡胶导尿管改硅胶导尿管、缩短置管时间、护理过程中加强无菌操作及手卫生感染率有统计学差异(均P<0.05);禁止抗菌药物预防性膀胱冲洗感染率差异无统计学意义(P>0.05)。结论:对留置导尿患者开展目标性监测,能及时发现导尿相关尿路感染高危因素,采取针对性干预措施,可有效降低留置导尿相关尿路感染率。
Objective:to reduce the infection rate in patients with indwelling catheter.Grouping method according to the time sequence,2015 1 to June223 patients with indwelling catheter were divided into control group,7-December,225 cases were set as the observation group,the control group received routine nursing and infection management;In the observation group,the intervention factors were analyzed by analyzing the infection risk factors in the control group,The utility model comprises the steps that the latex catheter is changed to the silica gel catheter,the time of the catheter is shortened,and the hand hygiene is strengthened during the nursing process,The measures to prevent the prevention of bladder irrigation by antibiotics were evaluated.Result:the infection rate of indwelling urethral catheterization in observation group was significantly lower than the control group(P < 0.05) modified silicone rubber catheter catheter,shorten the time of catheter nursing in the process of strengthening aseptic operation and hand hygiene infection rate had significant difference(P < 0.05);There was no significant difference in the infection rate of prophylactic bladder washout(P > 0.05).Conclusion to carry out targeted monitoring of urethral catheterization in patients with indwelling,can discover the risk factors of catheter related urinary tract infection,to take measures,can effectively reduce the indwelling catheter related urinary tract infection rate.
Objective:to reduce the infection rate in patients with indwelling catheter.Grouping method according to the time sequence,2015 1 to June223 patients with indwelling catheter were divided into control group,7-December,225 cases were set as the observation group,the control group received routine nursing and infection management;In the observation group,the intervention factors were analyzed by analyzing the infection risk factors in the control group,The utility model comprises the steps that the latex catheter is changed to the silica gel catheter,the time of the catheter is shortened,and the hand hygiene is strengthened during the nursing process,The measures to prevent the prevention of bladder irrigation by antibiotics were evaluated.Result:the infection rate of indwelling urethral catheterization in observation group was significantly lower than the control group(P < 0.05) modified silicone rubber catheter catheter,shorten the time of catheter nursing in the process of strengthening aseptic operation and hand hygiene infection rate had significant difference(P < 0.05);There was no significant difference in the infection rate of prophylactic bladder washout(P > 0.05).Conclusion to carry out targeted monitoring of urethral catheterization in patients with indwelling,can discover the risk factors of catheter related urinary tract infection,to take measures,can effectively reduce the indwelling catheter related urinary tract infection rate.
引文
[1]陈蓉美,张志萍,胡传慧等.骨科I类手术目标性监测效果评价[J].护理学杂志,2015,30(20):108.
[2]余群飞,沈志坤,王惠琴等.缩短导尿管留置时间的相关研究与展望[J].护理学报,2014,21(17):23-26.
[3]Bruminhent J,Keegan M,Lakhani A,et al.Effectiveness ofa Simple Intervention for Prevention of Catheter-Associated Urinary Tract Infections in a Community Teaching Hospital[J].Am J Infect Control,2010,38(9):689-693.
[4]黄位耀,韦莉萍,纪玉桂等.全硅橡胶和乳胶导尿管留置导尿的临床比较[J].第一军医大学学报,2005,25(8):1027.
[5]oGrady N,Alexander M,Dellinger E,I"#MYM.Guidelines for thepreventition ofintravasudar catheter related infections[J].Pediatrics,2002,110(5);e51.
[6]Lawrence EL,Turner IG.Materials for urinary catheters:a reviewof their history and development in the UK[J].Med EngineeringPhysics,2004,17(12):466-468.
[7]Umscheid C A,Mitchell M D,Doshi J A,et al.Estimatingthe Proportion of Healthcare-Associated Infections that areReasonably Preventable and the Related Mortality and Costs[J].Infect Control Hosp Epidemiol,2011,32(2):101-114.
[8]Gould C V,Umscheid C A,Agarwal R K,et al.Guidelinefor Prevention of Catheter-Associated Urinary Tract Infec-tions 2009[J].Infect Control Hosp Epidemiol,2010,31(4):319-326
[9]Saint S,Kowalski C P,Kaufman S R,et al.Preventing Hos-pitalAcquired Urinary Tract Infection in the United States:A National Study[J].Clin Infect Dis,2008,46(2):243-250.
[10]Saint S,Kowalski C P,Forman J,et al.A Multicenter Quali-tative Study on Preventing Hospital-Acquired Urinary TractInfection in US Hospitals[J].Infect Control Hosp Epidemiol,2008,29(4):333-341
[11]Warren J W,Piatt R,Thorns R J,etal.Antibiotic irrigation and catheter-associated urinary tractinfections[J].N Engl J Med,1978,299(11):570-573 catheter-asso-ciated urinary tract infection initiated bybacterial contamina-tion.
[12]温慧敏等.膀胱冲洗预防泌尿系统感染的研究进展[J].护理管理杂志,2013,13(4):255-256
[2]余群飞,沈志坤,王惠琴等.缩短导尿管留置时间的相关研究与展望[J].护理学报,2014,21(17):23-26.
[3]Bruminhent J,Keegan M,Lakhani A,et al.Effectiveness ofa Simple Intervention for Prevention of Catheter-Associated Urinary Tract Infections in a Community Teaching Hospital[J].Am J Infect Control,2010,38(9):689-693.
[4]黄位耀,韦莉萍,纪玉桂等.全硅橡胶和乳胶导尿管留置导尿的临床比较[J].第一军医大学学报,2005,25(8):1027.
[5]oGrady N,Alexander M,Dellinger E,I"#MYM.Guidelines for thepreventition ofintravasudar catheter related infections[J].Pediatrics,2002,110(5);e51.
[6]Lawrence EL,Turner IG.Materials for urinary catheters:a reviewof their history and development in the UK[J].Med EngineeringPhysics,2004,17(12):466-468.
[7]Umscheid C A,Mitchell M D,Doshi J A,et al.Estimatingthe Proportion of Healthcare-Associated Infections that areReasonably Preventable and the Related Mortality and Costs[J].Infect Control Hosp Epidemiol,2011,32(2):101-114.
[8]Gould C V,Umscheid C A,Agarwal R K,et al.Guidelinefor Prevention of Catheter-Associated Urinary Tract Infec-tions 2009[J].Infect Control Hosp Epidemiol,2010,31(4):319-326
[9]Saint S,Kowalski C P,Kaufman S R,et al.Preventing Hos-pitalAcquired Urinary Tract Infection in the United States:A National Study[J].Clin Infect Dis,2008,46(2):243-250.
[10]Saint S,Kowalski C P,Forman J,et al.A Multicenter Quali-tative Study on Preventing Hospital-Acquired Urinary TractInfection in US Hospitals[J].Infect Control Hosp Epidemiol,2008,29(4):333-341
[11]Warren J W,Piatt R,Thorns R J,etal.Antibiotic irrigation and catheter-associated urinary tractinfections[J].N Engl J Med,1978,299(11):570-573 catheter-asso-ciated urinary tract infection initiated bybacterial contamina-tion.
[12]温慧敏等.膀胱冲洗预防泌尿系统感染的研究进展[J].护理管理杂志,2013,13(4):255-256