良性前列腺增生患者术后尿路感染风险因素预测与预见性护理措施  

Prediction of urinary infection risks and its predictive nursing measures for benign prostatic hyperplasia

作　　者：郄冬梅[1] 王欣[1] 仉鹏[1] 张琳琳[2] 

机构地区：[1]大庆油田总医院外科,163312 [2]哈尔滨医科大学大庆校区,163312

出　　处：《中华现代护理杂志》2017年第17期2226-2229,共4页Chinese Journal of Modern Nursing

基　　金：大庆市指导性科技计划项目（szdy-2015-03）

摘　　要：目的 运用分类树模型预测良性前列腺增生（BPH）患者术后尿路感染风险因素,针对风险因素提出针对性护理措施.方法 2016年2-6月,根据纳入标准选择2010年12月-2015年12月就诊于大庆市7所医院并接受经尿道前列腺切除术（TURP）治疗发生尿路感染的患者112例与未发生尿路感染的2586例进行回顾分析和现场调查;以是否发生术后尿路感染为结果变量,以术后尿路感染发生的可能影响因素（年龄、病程、疾病史、前列腺体积、留置尿管时间）为自变量建立模型;根据模型结果提出预见性护理措施.结果 导尿管留置时间、年龄、焦虑程度、糖尿病史及吸烟是BPH术后尿路感染的主要影响因素（t值分别为14.23、11.30、10.42、6.23、8.27、7.29;P〈0.05）,其中,最主要的影响因素是留置尿管时间.结论 针对不同年龄患者,针对性缩短留置尿管时间、控制焦虑程度及血糖、严格戒烟可以降低BPH术后尿路感染发生率.Objective To predict the urinary infection factors by classification tree model for benign prostatic hyperplasia （BPH） patients with postoperative urinary tract, and put forward nursing measures toward these risk factors.Methods By the methods of medical records information acquisition and prevalence study, patients were collected, who saw a doctor and accepted the TURP for the treatment of urinary tract infection with 112 cases infected and 2586 cases not infected retrospectively in 7 hospitals in Daqing. All information acquired by recording or documents. The model was constructed that whether occurred postoperative urinary tract infection was set up as outcome variable and the possible risks for postoperative urinary tract infections was established as independent variable. According to the model result, model risk factors will be put forward. Results Catheter indwelling time, age, degree of anxiety, diabetes and smoking were the main risk factors for postoperative BPH urinary tract infection （t=14.23, 11.30, 10.42,6.23,8.27,7.29;P〈0.05）, and catheter indwelling time had the largest effect.Conclusions For patients with different ages, to shorten the time for placing a urinary catheter, anxiety levels and blood glucose control, strict quitting smoking can reduce the incidence of postoperative BPH urinary tract infection.

关 键 词：前列腺增生 尿路感染 风险因素 预见性护理 

分 类 号：R473.6[医药卫生—护理学]