留置尿管并发尿路感染护理对策及实施效果

Nursing Strategies and Implementation Effects of Indwelling Urinary Catheters Complicated with Urinary Tract Infections

摘要: 排尿是正常的生理活动，健康者在有效的排尿过程中，可以冲洗掉黏附在尿路的细菌黏蛋白以及细菌，避免发生尿路感染。但是部分患者会因为疾病、手术或排尿及贮尿功能障碍等因素，需要留置导尿管辅助排尿。虽然留置尿管能够解决排尿问题，还能方便观察排尿量，降低护理难度，让床单干燥、干净。但是在尿管留置期间，很容易发生尿路感染，尿管留置时间越长发生率越高，还会相应的提高患者菌尿症风险，影响原发疾病恢复，增添身体痛苦感。为了有效解决这一难题，可以从临床护理方面着手，首先护理人员要掌握留置尿管并发尿路感染的各种影响因素，再结合患者多方面需求，制定有针对性、实效性强的护理对策，清除安全隐患，降低患者留置尿管期间尿路感染风险。

Abstract: Urination is a normal physiological activity. During effective urination, healthy individuals can flush out bacterial mucin and bacteria that adhere to the urinary tract to avoid urinary tract infections. However, some patients may require indwelling catheters to assist urination due to factors such as illness, surgery, or urinary and urinary storage dysfunction. Although indwelling a catheter can solve urination problems, it can also facilitate observation of urination volume, reduce nursing difficulty, and make the bed sheets dry and clean. However, during the period of indwelling a urinary catheter, it is easy to develop urinary tract infections. The longer the indwelling time, the higher the incidence rate, and the corresponding increase in the risk of bacterial urinary disease in patients, which affects the recovery of primary diseases and increases physical pain. In order to effectively solve this problem, clinical nursing can be approached. Firstly, nursing staff should understand the various influencing factors of urinary tract infections caused by indwelling catheters. Then, combined with the diverse needs of patients, targeted and effective nursing strategies should be developed to eliminate safety hazards and reduce the risk of urinary tract infections during indwelling catheters.