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目的探讨重症监护病房(ICU)患者留置尿管相关性尿路感染的危险因素,并制订相应的护理措施进行预防。方法回顾性分析2013年1月至2014年1月在大连市友谊医院ICU病房住院的留置尿管870例患者资料,按是否发生尿路感染分为感染组245例和非感染组625例,分析两组患者发生尿路感染的危险因素及护理措施。结果患者年龄>60岁、女性、住院时间≥7 d、合并糖尿病、前列腺增生及尿路结石以及尿道口清洗每周<7次均为ICU患者发生留置尿管相关性尿路感染的危险因素。结论 ICU是院内感染的高发科室,掌握发生尿路感染的危险因素,采取相应的护理措施,才能有效预防感染,提高护理水平。
Objective To investigate the risk factors of urinary catheter-associated urinary tract infection in intensive care unit (ICU) patients and to develop corresponding nursing measures for prevention. Methods The data of 870 indwelling ureters hospitalized in ICU ward of Dalian Friendship Hospital from January 2013 to January 2014 were retrospectively analyzed. According to whether there was urinary tract infection, there were 245 cases in infected group and 625 cases in non-infected group. Two groups of patients with urinary tract infection risk factors and nursing measures. Results Patients aged> 60 years, female, hospital stay ≥ 7 days, combined with diabetes mellitus, benign prostatic hyperplasia and urinary tract stones and urethral washings less than 7 times a week were all risk factors for catheter-associated urinary tract infection in ICU patients. Conclusion ICU is a high incidence department of nosocomial infection, to master the risk factors of urinary tract infection, take appropriate nursing measures to effectively prevent infection and improve the level of care.