泌尿外科患者的感染病原菌分析和临床护理干预

Pathogens in and clinical nursing intervention for patients at department of urology

目的分析泌尿外科患者的感染病原菌分布情况，并探讨临床护理干预措施及效果。方法随机选取2014年4月至2016年4月本院泌尿外科收治的患者68例，依据护理方法将这些患者分为两组，即全面护理干预组（n=34）和常规护理干预组（n=34），对两组患者的感染情况、病原菌分布情况、护理满意度进行统计分析。结果全面护理干预组患者的感染率为5．9％，显著低于常规护理干预组的11．8％（P〈0．05），护理满意度为88．2％，显著高于常规护理干预组的73．5％（P〈0．05）；68例患者共检出10株病原菌，其中革兰氏阴性菌5株，革兰氏阳性菌4株，真菌1株，分别占总数的50．0％、40．0％、10．0％。结论泌尿外科患者的感染病原菌主要为革兰氏阴性菌，其次为革兰氏阳性菌，最后为真菌。全面护理干预能够有效降低患者的感染率，提高患者的护理满意度。

Objective To analyze the pathogen distribution in and to investigate the clinical nursing intervention for and its effect on patients at department of urology. Methods 68 patients admitted into the department of urology at our hospital from April, 2014 to April, 2016 were randomly selected and were divided into a comprehensive nursing intervention group and a routine nursing intervention group in terms of nursing methods, 34 for each group. The infection, pathogen distribution, and nursing satisfaction degree in both groups were statistically analyzed. Results The infection rate and nursing satisfaction degree were 5.9% （2/34） and 88.2% （30/34） in the comprehensive nursing intervention group and 11.8% （4/34） and 73.5% （25/34） in the routine nursing intervention group （P 〈0.05）. Among the 68 patients, 10 were detected with pathogens, including 5 strains of gram-negative bacteria, 4 Gram-positive bacteria, and 1 fungi, accounting for 50.0%, 40.0%, and 10.0%, respectively. Conclusions The main pathogens in patients at department of urology descreasingly include Gram- negative bacteria, Gram-positive bacteria, and fungi. Comprehensive nursing intervention can effectively reduce the infection rate and increase the patients nursing satisfaction degree.