ICU患者留置尿管漏尿原因分析及护理对策  

Analysis of causes and nursing countermeasures of leakage of urine of indwelling urethral catheter in ICU patients

作　　者：谭玉凤 曾兰芳[1] 赖冬梅 Tan Yufeng;Zeng Lanfang;Lai Dongmei(ICU,The First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510120,China)

机构地区：[1]广州医科大学附属第一医院重症医学科,510120

出　　处：《国际医药卫生导报》2018年第17期2689-2691,共3页International Medicine and Health Guidance News

摘　　要：目的 探讨ICU危重患者留置尿管漏尿的影响因素并提出护理对策,为尿管的管理提供依据。方法 收集2016年1月至2017年12月本院ICU 102例留置尿管患者的临床资料并进行统计学分析,探讨漏尿的影响因素。结果 102例ICU留置尿管患者中,有21例出现漏尿,存在漏尿患者与非漏尿患者在年龄、性别、文化程度、尿管型号上比较差异无统计学意义(P>0.05);在住院天数[(22.29±13.18)d比(14.20±7.24)d]、尿管留置天数[(21.81±12.70)d比(13.99±9.92)d]、导尿管相关性尿路感染(52.38%比6.17%)、便秘(61.90%比12.35%)等比较差异有统计学意义(P<0.05)。尿管留置天数越长,存在尿路感染、便秘症状,漏尿发生率明显增加。结论 ICU留置尿管患者漏尿发生率较高,应做好尿管管理,加强引起漏尿因素的控制和预防,严格执行无菌制度,提高患者机体抵抗力,可减少漏尿的发生。Objective To explore the influencing factors of leakage of urine of indwelling urethral catheter in ICU critical patients and put forward the nursing countermeasures,to provide nursing management for urethral catheter.Methods 102 patients with indwelling urethral catheter hospitalized in ICU of our hospital from January 2016 to December 2017 were selected,and analyzed their clinical data,explored the influencing factors of leakage of urine.Results Of the 102 ICU patients with indwelling urethral catheter,21 cases had leakage of urine;and there were no statistically significant differences in age,sex,education level,and type of urethral catheter between patients with leakage and patients without leakage(P>0.05),there were statistically significant differences in the length of stay,the time of indwelling urethral catheter,urinary catheter associated urinary tract infection,and constipation between patients with leakage and patients without leakage[(22.29±13.18)d vs.(14.20±7.24)d,(21.81±12.70)d vs.(13.99±9.92)d,52.38%vs.6.17%,61.90%vs.12.35%](P<0.05).The longer the time of indwelling urethral catheter was,the higher the incidences of urinary tract infection,constipation,leakage of urine were.Conclusion The incidence of leakage of urine in ICU patients with indwelling urethral catheter is high.The management of urinary catheter should be done well,the control and prevention of the factors causing urine leakage should be strengthened,the aseptic system should be strictly carried out,and the body resistance of patients should be improved,which can reduce the occurrence of urine leakage.

关 键 词：ICU 留置尿管 漏尿 

分 类 号：R472[医药卫生—护理学]