对留置导尿患者医嘱依从性与伴随性尿路感染关系的研究  

Study of the relationship between patients compliance to medical order during indwelling urethral catheterization and urinary tract infection

作　　者：张利国[1] 刘晓伟[1] 翟秀芬[1] 高旭红[1] 

机构地区：[1]承德医学院附属医院泌尿科,河北承德067000

出　　处：《护士进修杂志》2005年第2期106-108,共3页Journal of Nurses Training

摘　　要：目的 探讨留置导尿患者的医嘱依从性与留置导尿伴随性尿路感染的关系。方法 确定观察因素和患者是否依从的标准,留取尿标本进行尿培养,然后观察两组患者尿路感染的发生率。所得数据用卡方检验进行统计学处理。结果 留置导尿患者饮水、引流袋放置高度及局部清洁消毒的依从性直接影响留置导尿伴随性尿路感染的发生率(均P<0.01);抗生素应用依从性的高低与留置导尿伴随性尿路感染的发生率无关(均P>0.05)。结论对留置导尿患者护理人员要加强与患者的沟通,对患者进行全面的健康教育,提高患者饮水、引流袋放置高度,局部清洁消毒及抗生素应用的依从性,减少留置导尿伴随性尿路感染的发生,提高治疗效果,改善生活质量。Objective To explore the relationship between patient's Compliance to medical order and Urinary tract infection. Method To determine the observation factors and the standard of Compliance to medical order, to culture the urine sample culture and count the incidence of urinary tract infection. The collected data was treated with x2 test. Results The incidence of urine tract infection is affected by the patienf s Compliance to medical order in taking water, height of drainage bag and local disinfection (P<0. 01) There is no relationship between the incidence of urinary tract infection and patient's compliance to medical order in taking antibiotics (P>0. 05). Conclusion Nurses should intensify the communication with the patient's of indwelling urethral catheterization and carry out systemic health education to increase the patient's Compliance to medical order in taking water, height of drainage bag and local disinfection to decrease the complication of indwelling urethral catheteriztion and improve the patient's life quality.

关 键 词：留置导尿 伴随性尿路感染 医嘱依从性 护理 

分 类 号：R471[医药卫生—护理学] R691.3[医药卫生—临床医学]