集束化护理在预防重症颅脑损伤患者留置尿管相关感染中的应用.pdfVIP

·18· 集束化护理在预防重症颅脑损伤患者 留置尿管相关感染中的应用 宁小玲‘潘玲梁艺源 彭丽萍 摘要目的：研究集束化护理对重症颅脑损伤患者预防留置尿管相关感染(CAUTI)的效果，探讨行留置尿管的管理方法。方 法：选择ICU 组，2012年1—12月采用集束化护理方法护理的105例患者作为观察组，比较两组发生尿路感染率、留置尿管时间、住院时间、住 院费用。结果：集束化护理组CAUTI率、留置尿管时间、住院时间住院费用明显低于对照组。结论：集柬化护理能有效预防重症 颅脑损伤患者CAUTI的发生。 ofbundle on tractinfectionwithseverecraniocerebral Applicationnursingpreventionurinary injurypatient NING AffiliatedtoFirst ofShundeDistrictFoshan Xiao—ling，PANLmg，LIANGYi—yuan，etal(Chencun Hospital People’SHospital city 528313) Guangdongprovince，Foshan Abstract theclusterthe for withseverecranioeerebral relatedto a Objective：Tostudy nursingpatients injuryprevention placingurinary catheter afeasible methodof a 205CasesofSevere infection(CAU，11I)，to catheter．Methods：Chose explore managementplacingurinary craniocerebral inICUastheresearch 100caseswithtraditionalmethodsfrom Dec．in2011 as injurypatients object，Chose nursing Jan．to with from two control cases bundle methodJan．toDec．in2012astheobservation of nursing urinary group，105 group，comparedgroups tract catheter of bundle CAUTI infection，indwelliagtime，hospitalizationtime，costhospitalization。Results：Thenursinggroup rate，in— catheter timeand costswere lowerthanthoseinthecontrol dwelling time，hospitalizationhospital significantly clusterof can the of withsevere CAUTI． the craniocerebral nursingeffectivelypreventhappeningpatie