膀胱全切术后泌尿系感染的危险评估及护理干预对策  

Risk assessment and nursing intervention of urinary tract infection after total cystectomy

作　　者：樊荣[1] 蒋玉梅[1] 张娜[1] 李玉[1] 高慧敏[1] 

机构地区：[1]西安交通大学医学院第一附属医院泌尿外科,陕西西安710061

出　　处：《实用临床医药杂志》2017年第14期101-103,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨膀胱全切术后泌尿系感染的危险评估及护理干预对策。方法选取泌尿外科收治的86例膀胱全切术患者作为研究对象,分析泌尿系感染情况并对感染患者的临床资料进行单因素和多因素logistic回归分析。结果 86例患者中,19例患者术后出现泌尿系感染;年龄、性别、前列腺增生、糖尿病、使用抗菌药物、肝肾功能不全、住院时间是影响泌尿系感染的危险因素(P<0.05)。经logistic回归分析发现,年龄、糖尿病、未使用抗菌药、住院时间长是术后泌尿感染的独立危险因素(P<0.05)。结论膀胱全切术后泌尿系感染的发生率较高,危险因素较多,应采取有针对性的干预对策,减少术后泌尿系感染的发生。Objective To evaluate the risk of urinary tract infection after total cystectomy and to propose nursing intervention measures. Methods A total of 86 patients with total eystectomy treated were selected as study subjects. The single factor and multi factor Logistic regression analysis were performed on the clinical data of the patients with infection. Results There were 19 patients with urinary tract infection. The age, sex, prostatic hyperplasia, diabetes mellitus, antibiotic use, hepatic and renal insufficiency, and hospital stay time were risk factors for urinary tract infection （P 〈 0.05 ）. Logistic regression analysis showed that age, diabetes, not using antibacterial drugs, length of stay in hospital were independent risk factors for postoperative urinary tract infection. Con- dusion The incidence rate of urinary tract infection after total eystectomy is high, and the risk fac- tors are various. Targeted intervention should be implemented to reduce the incidence of postoperative urinary tract infection.

关 键 词：膀胱全切术 泌尿系感染 危险评估 护理干预对策 

分 类 号：R473.6[医药卫生—护理学]