一次性集尿袋更换时的META分析.docVIP

一次性集尿袋最佳更换时间的Meta分析 护理学院 护理1班 吴燕妮 王红丽老师 【摘要】 目的 评价一次性集尿袋一天更换一次、三天更换一次、七天更换一次引起尿路感染率，探讨留置导尿管患者一次性集尿袋更换的最佳时间。方法 通过中文全文数据库全面检索国内已发表的相关文献，排除那些不符合选择标准要求的试验，对一天一次、三天一次、七天一次更换集尿袋与尿路感染生率进行Meta分析。结果 共检索出已完成的随机对照试验的文献5篇，符合纳入标准，经Meta分析一天更换一次集尿袋尿路感染发生率是三天更换一次的2.16倍【RR 95%CI（1.69，2.77）】【Abstract】Objective? evaluate the replacement of Urine Bag three days,、seven days a urinary tract infection caused by the replacement to explore in patients with indwelling catheter bag to replacement set the best time.Methods The full-text database of Chinese national has published a comprehensive search of relevant literature, to exclude those who do not meet the selection criteria required by the pilot, one day, three days, seven days a replacement collection bag with urinary tract infection rate for Meta Analysis.Results?a total of completed randomized controlled trials of the literature 5, in line with the inclusion criteria, Meta analysis of the day by a collection bag to replace the incidence of urinary tract infection is a three-day replacement of the 2.16-fold 【RR 95% CI (1.69,2.77 )】, with significant statistical significance (P 0.0001); day to replace a bag sets the incidence of urinary tract infection and the replacement of a collection bag for seven days of the incidence of urinary tract infection was not significant (P 0.05); Urine collection bags a day to replace the incidence of urinary tract infections for seven days to replace a 0.44-fold 【95% CI (0.35,0.56)】, with significant statistical significance (P 0.0001).Conclusions Urine Bag Replacement best time to is three days ,of clinical nursing practice has an important practical value. 【Key words】retention catheterization;Urine Bag Replacement time; Urinary Tract Infection Meta Analysis 前言 留置导尿是引起医院尿路感染的直接因素,据 Stamm 报道国外住院的留置导尿病人菌尿发生率为 44.0% [1] ,许苏等报道国内为 26.4% [2]，其导致尿路感染的主要原因是尿管与尿道间隙细菌逆行感染及尿管和集尿袋连接处和集尿袋放尿口处的污染。为了避免留置导尿管引起尿路感染等并发症,临床上常用更换集尿袋以减少感染的发生[3]，但对于集尿袋更换间隔时间意见不一致,有资料认为普通集尿袋的更换时间以1次/周较合适[4],而另有资料认为以3d 更