清水清洁式会阴部护理对预防导尿管相关性尿路感染的效果研究  

Effect of clean water perineum nursing on prevention of urinary tract urinary catheter associated infection

作　　者：吕馥菱[1] 王园园[1] 陈秋弟 林晓丹[1] 吴晓英[1] Lyu Fuling;Wang Yuanyuan;Chen Qiudi;Lin Xiaodan;Wu Xiaoying(ICU,the First Affiliated Hospital of Medical College of Shantou University ICU,Shantou 515041,China)

机构地区：[1]汕头大学医学院第一附属医院ICU,515041

出　　处：《中国实用护理杂志》2019年第18期1397-1399,共3页Chinese Journal of Practical Nursing

基　　金：2015年度汕头市医疗科技计划(20150406).

摘　　要：目的观察清水清洁式会阴护理在预防导尿管相关性尿路感染中的效果。方法选取2015年10月至2016年10月在汕头大学医学院第一附属医院收治的160例留置尿管患者,按随机数字表法分为试验组和对照组,每组80例;试验组患者使用清水清洁式会阴护理,对照组患者使用0.5%聚维酮碘常规会阴护理。比较2组患者在留置尿管后第3、7、14天尿路感染发生率。结果对照组在留置尿管后第3、7、14天尿路感染的发生率分别为0、1.3%(1/80)、5.0%(4/80),试验组分别为0、2.5%(2/80)、3.8%(3/80),差异无统计学意义(χ^2=0.340、0.149,P>0.05)。结论使用清水清洁式会阴护理没有增加尿路感染发生率,该方法简单、有效、无不良反应,减少科室聚维酮碘消毒液消耗同时减少护士工作量,值得在临床中推广。Objective To observe the effect of clean water perineum nursing in preventing urinary catheter-associated urinary tract infection.Methods From October 2015 to October 2016,160 patients with indwelling urinary catheter were selected from the first affiliated Hospital of Shantou University Medical College,ICU and neurosurgery ICU.According to the order of admission,the patients were randomly divided into experimental group and control group.A total of 80 patients in the experimental group received clean water perineal nursing,while 80 patients in the control group received routine perineum nursing with 0.5%iodophor.The incidence of urinary tract infection was compared between the two groups on day 3rd,7th and14th after indwelling urethral catheter.Results In the control group,the incidence of urinary tract infection on day 3rd,7th and14th was 0,1.3%(1/80)and 5.0%(4/80),respectively.In the experimental group,the incidence of urinary tract infection on day 3,7 and 14 was 0,2.5%(2/80)and 3.8%(3/80).The difference was not statistically significant(χ^2=0.340,0.149,P>0.05).Conclusions Using clean water perineum nursing does not increase the incidence of urinary tract infection.This method is simple,effective,and has no adverse reactions.It is worth popularizing in clinic because it can reduce the consumption of iodophor disinfectant and reduce the workload of nurses.

关 键 词：会阴护理 导尿管相关性尿路感染 护理 

分 类 号：R472[医药卫生—护理学]