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留置尿管护理对尿道感染的影响及人文护理的重要性

     

摘要

Objective To explore the influence of catheterization for urinary tract infections and the importance of humanistic nursing. Methods Totally 248 patients who were admitted into our hospital from February 2013 to April 2014 were randomly divided into two groups. Patients in the control group (117 cases) were given spray fungicide and regular disinfection of urethra by nursing staff, and patients in the observation group (131 cases) were nursed by themselves or their family after been taught the way of spraying fungicide and cleaning. Ana-lyzed the psychological status, routine urine, urinary tract infections, nursing job satisfaction of the patients, and the relevant data were ana-lyzed by SPSS 17. 0 software. Results The third day after placing urinary catheter urethra, the relevant nursing can reduce the rate of urina-ry tract infections in patients. the difference of the two groups was statistically significant (P<0. 05). The rate of urinary tract infections at the seventh day after placing urinary catheter urethra was 39. 69% in the observation group and 41. 03% in the control group, the difference of the two groups was not statistically significant (P >0. 05). Infection rate of male patients (29. 01%) is higher than female patients (10. 69%). The satisfaction rate of urethra care in the observation group was 87. 79%, and the satisfaction rate of other project were all higher than 92. 5%. The satisfaction rate of urinary tract nursing check in the control group was 79. 49%, and the satisfaction rate of nurse-patient communication was 83. 76%. It was found that the difference of communication between nurses and patients, service attitude and the urethra care were statistically significant. Conclusion It can reduce the rate of urinary tract infection after placing urinary catheter in pa-tients for 7 days and nursed by patients themselves with spraying fungicide and cleaning. Strengthen the humanistic nursing care can improve nursing satisfaction.%目的:探讨留置尿管护理对尿道感染的影响及人文护理的重要性。方法将我院于2013年2月至2014年4月留置尿管的248例患者进行随机分组,对照组117例在留置尿管常规护理的前提下由护理人员给予患者喷雾杀菌剂和常规尿道消毒护理;观察组131例教会患者或其家属自行喷用喷雾杀菌剂和清洁清洗护理后,护理人员不再进行相关尿道护理。分析2组患者心理、尿常规、尿路感染、护理工作满意度等情况,采用SPSS 17.0软件对相关数据进行分析。结果留置尿管后第3天尿道感染率情况:观察组为26.72%,对照组为14.53%,2组比较差异有统计学意义(P<0.05)。留置尿管后第7天尿道感染率情况:观察组为39.69%,对照组为41.03%,2组比较差异无统计学意义(P>0.05),但男性患者感染率大于女性患者,其中男性29.01%,女性10.69%。观察组除了尿道护理满意度为87.79%之外,其他项目的满意率都在92.5%以上,对照组中尿道护理检查满意率为79.49%,护患沟通满意率为83.76%,分析后发现2组护患沟通、服务态度及具体尿道护理有统计学意义。结论留置尿管7 d后,患者自行使用喷雾杀菌剂和清洁护理可降低尿道感染率;加强人文护理可提高护理满意度。

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