摘要
目的:调查浦东新区城镇社区内居家留置导尿管老年患者感染发生现况,分析感染发生影响因素。方法:随机选取200例社区居家留置导尿老年患者,家庭进行留置导尿护理,自拟问卷调查。结果:性别、置管时间、疾病诊断、生活自理能力、护理指导来源等对感染的发生差异有统计学意义。尿管维护情况的各个项目均与感染发生差异有统计学意义。结论:城镇社区的留置导尿管老年患者中老年女性、留置导尿管>1年、高位截瘫、生活完全不能自理、缺乏居家护士更换导尿管的患者是感染发生的高危人群。严格按照留置导尿管护理标准操作能够有效预防和控制感染发生。
Objective:To investigate the prevalence of infection in the elderly population of indwelling catheter in the urban communities of Pudong new district,and to analyze the factors affecting the infection.Methods:200 elderly patients in the community with catheterization at home were randomly selected form,and they were treated with indwelling catheterization in the family,and a self-designed questionnaire was made.Results:There were significant differences in the incidence of infection in sex,time of intubation,diagnosis of disease,self-care ability of life,and the source of nursing guidance.There were significant differences in the incidence of urethral catheterization with the incidence of infection.Conclusion:The indwelling catheter for the elderly in the urban community,the middle-aged and elderly women,the indwelling catheter for more than 1 years,the high paraplegia,the life completely unable to take care of themselves,and the lack of home nurses to replace catheters are high-risk groups of infection.According to the nursing standard operation of indwelling catheter strictly,the infection can be prevented and controlled effectively.
作者
徐莉
Xu Li(Hudong Community Health Service Center of Pudong New District,Shanghai City 200129)
出处
《中国社区医师》
2018年第12期145-146,148,共3页
Chinese Community Doctors
关键词
居家护理
留置导尿
导管相关感染
Home care
Indwelling catheterization
Catheter related infection
