泌尿外科患儿留置导尿管相关尿路感染的危险因素及护理策略  

Risk factors of indwelling catheter related urinary tract infection in department of urology and its clinical nursing prevention strategy

作　　者：赵兴兰[1] 李瑞 尹娜 刘海玲[1] 

机构地区：[1]首都医科大学附属北京儿童医院泌尿外科,北京100045

出　　处：《实用临床医药杂志》2017年第20期112-115,共4页Journal of Clinical Medicine in Practice

基　　金：北京市卫生局基金项目(2016-016)

摘　　要：目的分析泌尿外科患儿留置导尿管相关尿路感染的危险因素并探讨相应的临床护理预防策略。方法选取泌尿外科留置导尿管的300例患儿作为研究对象,并将患儿分为尿路感染组、无感染组,比较2组患儿的临床资料,对导致泌尿外科患儿发生导尿管相关尿路感染的影响因素进行单因素分析、多因素Logistics线性回归分析。结果 300例泌尿外科患儿中,37例发生导尿管相关尿路感染,感染发生率为12.33%;单因素分析中,2组患儿性别、年龄、导尿管留置时间、既往导尿管留置史、集尿袋更换时间、导尿管更换时间比较,差异有统计学意义(P<0.05);多因素Logistics线性回归分析显示,导尿管留置时间、既往导尿管留置史、集尿袋更换时间、导尿管更换时间是泌尿外科患儿发生导尿管相关尿路感染的独立危险因素。结论导尿管相关尿路感染是泌尿外科患儿留置导尿管期间容易出现的并发症,其危险因素主要为导尿管留置时间过长、集尿袋更换时间过长、导尿管更换时间过长、既往导尿管留置史等,医护人员应根据危险因素采取相应护理预防措施。Objective To analyze risk factors of indwelling catheter related urinary tract infection in department of urology and its clinical nursing prevention strategy. Methods A total of 300 children who were treated in department of urology in our hospital were selected as the research objects,and were divided into urinary tract infection group and no infection group according to whether the occurrence of urinary tract infection,the clinical data of two groups were compared and analyzed,single factor analysis and multivariate logistics regression analysis were performed to investigate the influence factors of urinary tract infection in children with urinary tract infection. Results Out of 300 children in department of urology,a total of 37 cases occurred catheter related urinary tract infection,the incidence of infection was 12. 33%. Single factor analysis showed that the differences in gender,age,time of indwelling catheter,indwelling catheter,previous history of replacement time of urine collection bag,catheter replacement time and other aspects in two groups were statistically significant( P < 0. 05); Multivariate logistics linear regression analysis showed that the catheter indwelling time,previous history of indwelling catheter and urine collection bag replacement time,catheter replacement time were the independent risk factors of catheter associated urinary tract infection. Conclusion Catheter associated urinary tract infection is common complications caused by indwelling catheter.The main risk factors are long indwelling catheter time and urine collection bag replacement time,long catheter replacement time,and previous catheterization history,so clinical nursing process. So corresponding preventive measures should be taken according to the risk factors of nursing.

关 键 词：导尿管相关尿路感染 危险因素 护理 

分 类 号：R473.72[医药卫生—护理学]