长期卧床导致泌尿系统感染的康复护理

学号:

泰山医学院毕业设计（论文）

题目：长期卧床导致泌尿系统感染的康复护理

院（部）系护理

所学专业护理

年级、班级12级本科四班

实习医院

完成人姓名

指导教师姓名

专业技术职称

指导教师单位

年月日

目录

中文摘要……………………………………………………………………………1英文摘要…………………………………………………………………………

2

前言………………………………………………………………………………3研究方法…………………………………………………………………………

4

结果 (5)

讨论 (6)

结论………………………………………………………………………………9参考文

献 (10)

附录 (11)

致谢 (14)

中文摘要

目的分析长期卧床患者发生泌尿系统感染的发生机制，并探讨开展循证护理对泌尿系统感染患者的影响，为今后的临床护理工作提供参考。方法本组研究中，所有观察样本均选取于我院外科住院部，样本观察时间2015年1月至2015年12月期间，样本量100例，所有样本均在观察期间长期卧床（平均卧床时间＞14 d），将所有样本均采用便利抽样法分为对照组（50例）与观察组（50例），对照组在观察期间只有开展常规护理，观察组在常规护理的基础上总结长期卧床患者泌尿感染的发生原因，并针对不同发病原因开展针对性的预防控制措施，对比两组患者住院期间泌尿感染发生率、住院时间与护理满意度。结果：（1）发生原因：本组100例患者中共发生泌尿感染16例，发生率为16%（16/100），其中年龄（31.25%）、长期插管（25%）、手术创伤（18.75%）、不合理使用抗生素（18.75%）以及局部清洁较差（6.25%）是长期卧床患者术后发生泌尿感染的常见发病原因。（2）观察组的平均住院时间为（9.24±5.47）d，与对照组比较明显低于对照组，组间差别具有统计学意义，P＜0.05。（3）对照组护理满意度评分为（63.8±4.8）分，观察组护理满意度评分为（84.6±5.2）分，观察组明显高于对照组，具有统计学意义，P＜0.05。结论：患者的年龄、长期插管、手术创伤、不合理使用抗生素以及局部清洁较差是长期卧床患者术后发生泌尿感染的常见发病原因，针对原因开展相应的预防对策可以有效控制泌尿感染的发生，减少患者住院时间，提高护

理质量。

关键词长期卧床；泌尿系统感染；康复护理

Evidence Based on Long Term Lying in Bed Causing Urinary

Tract Infection

ABSTRACT

Objective to analyze long-term bedridden patients with pathogenesis of urinary tract infections. Methods observed group for this study, all samples were selected in our hospital inpatient sample observation time January 2015 December period, the sample size of 100 cases, all samples were observed during periods of prolonged bed rest (average

bed time > 14 days), who were divided into the control group (50 cases) and observation group (50 cases) by convenience sampling method, the control group only to carry out routine care during the observation period, the observation group in the conventional care, and according to different causes to carry on the prevention and control measures were compared between the two groups of patients during hospitalization and urogenital infection rate, hospitalization time and nursing satisfaction.. Results (1) the causes: the group 100 patients occurred in 16 cases of urinary tract infection, the incidence rate was 16% (16/100), including age, long-term intubation, surgical trauma, irrational use of antibiotics and poor long-term local cleaning The occurrence of common causes of urinary tract infection in patients after operation, accounted for 31.25% (5/16), 25% (4/16), 18.75% (3/16), 18.75% (3/16) and 6.25% (1/16) (2)The average length of stay (9.24 ±5.47) d in the observation group, the average length of stay in the control group was (14.31 ±5.57) d, with statistical significance, P < 0.05. (3) the observation group nursing satisfaction score was (84.6 ± 5.2) points, the control group was(63.8 ± 4.8), the difference was statistically significant, P < 0.05. Conclusion