[摘要] 目的 分析针对性护理对留置尿管患者尿路感染的影响。 方法 回顾性分析本院2013年1月～2014年1月收治的98例留置尿管住院患者的临床资料，将患者按照入院先后顺序分为观察组和对照组，每组各49例，观察组患者采取针对性预防护理，对照组患者给予常规护理，观察两组患者尿路感染的发生率。 结果 观察组患者尿路感染发生率为2.0%，显著低于对照组的16.3%，观察组患者导尿管留置时间为（4.8±1.4） d，短于对照组的（9.3±1.6） d，两组患者的尿路感染发生率及导尿管留置时间差异有统计学意义（P＜0.05）。 结论 根据留置尿管患者尿路感染的危险因素实施针对性护理，可有效预防尿路感染的发生。

[关键词] 留置尿管；尿路感染；原因；预防；护理

[中图分类号] R473.6[文献标识码] B[文章编号] 1674-4721（2014）04（c）-0170-03

The influence of preventive nursing on urinary tract infection of patients with indwelling catheter

LIU Qiu-rong

Traditional Chinese Medicine Hospital of Ningyang County in Taian City of Shandong Province,Ningyang 271400,China

[Abstract] Objective To analyze the influence of preventive nursing on urinary tract infection of patients with indwelling catheter. Methods A retrospective analysis about clinical data of 98 patients with indwelling catheter in our hospital,they were divided into observation group and control group according to the order in hospital,49 cases in each group,observation group patients were given preventive nursing,control group patients were given routine nursing care,the incidence of urinary tract infections of cases in two groups were observed. Results The urinary tract infection rate in observation group was 2.0%,significantly lower than that in control group (16.3%),the indwelling catheter time was (4.8±1.4) d,less than that in control group (9.3±1.6) d,the difference between two groups had statistical significance (P<0.05). Conclusion According to the risk factors of urinary tract infection taking targeted nursing to patients with indwelling catheter can prevent the occurrence of urinary tract infection effectively.

[Key words] Indwelling catheter;Urinary tract infection;Cause;Prevention;Nursing

尿管留置已成为临床护理工作的一项基本操作，但留置尿管易引起尿路感染，目前尿路感染已成为留置尿管患者常见的并发症，据相关文献统计显示，医院感染中有40%属于尿路感染，在这40%的尿路感染患者中，有80%是由于留置导尿管所致[1]。留置尿管所致的尿路感染严重影响了临床治疗效果和患者预后，给患者的心理和经济带来了巨大压力。因此，如何降低留置尿管所致尿路感染的发生率已成为临床关注的重点，本研究通过认真分析尿管留置患者尿路感染的原因，采取针对性的护理措施，有效预防尿路感染的发生。

1 资料与方法

1.1 一般资料

选取本院2013年1月～2014年1月收治的98例留置尿管住院患者作为研究对象，所有患者在留置尿管前尿培养均为阴性，且无全身及泌尿系统感染。……