会阴清洗用于无感染留置尿管护理的效果评价  

Perineal cleaning for patients with indwelling urinary catheter and without infections

作　　者：冯锦芳[1] 聂芳[1] 谭秋华[1] 陈晓霞[1] 黄桂燕[1] 梁颂明[1] 

机构地区：[1]中山市人民医院泌尿外科,广东中山528400

出　　处：《护理学杂志》2011年第22期3-5,共3页

基　　金：广东省中山市卫生局医学科研立项课题(2010017)

摘　　要：目的针对留置尿管患者探索出一种简单、有效、无不良反应的会阴护理方法。方法将200例无感染留置尿管的患者随机分为观察组与对照组各100例,观察组采用小毛巾蘸温开水行会阴部清洗,对照组常规采用0.5%碘伏棉球行会阴部消毒。结果两组患者留置尿管后尿道口不良症状(红肿热痛、脓性分泌物)发生率及出现时间,留置尿管第3、7、10天中段尿培养阳性率比较,差异无统计学意义(均P>0.05);观察组患者对会阴部护理舒适度的评价显著高于对照组(P<0.01)。结论采用小毛巾蘸温开水清洗会阴部,不增加尿道口不良症状及尿路感染率,可提高患者舒适度。Objective To explore a simple,effective and side-effect-free perineal care method for patients with indwelling urinary catheters.Methods Two hundred patients without urinary tract infections were randomly divided into two groups,with 100 cases in each group.For the observation group,we used a small towel dipped into warm water to scrub the perineum,while the control group conventionally employed 0.5% povidone-iodine for perineal care.Results The incidence rates and emergence time of adverse symptoms（pain and swelling,purulent discharge）,the positive rates of urine culture on the 3rd,7th,10th day after catheterization showed no significant differences between the two groups（P〈0.05 for all）.The observation group expressed significantly higher degree of perineal comfort than the control group did（P〈0.01）.Conclusion Perineum cleaned by using warm-water-dipping small towel would not increase adverse symptoms of urethral orifice and urinary tract infections,and improves patient′s comfort.

关 键 词：留置尿管 会阴清洗 碘伏 舒适度 泌尿系感染 

分 类 号：R473.6[医药卫生—护理学]