肾移植术后留置尿管感染重点控制环节监测表的设计与应用

Design and application of a monitoring checklist of infection control key points for indwelling urinary catheter after kidney transplantation

目的降低肾移植患者术后尿管相关性感染的风险。方法将2016年1~6月行肾移植手术的60例患者作为对照组,7~12月行肾移植手术的68例患者作为观察组。对照组给予肾移植术后常规留置尿管护理,观察组自行设计肾移植术后留置尿管感染重点控制环节监测表,由责任护士依据监测表执行相关护理操作。结果观察组留置尿管时间以及尿培养阳性率显著低于对照组(P<0.05,P<0.01)。结论应用肾移植术后留置尿管感染重点控制环节监测表能有效降低患者术后尿管相关性感染发生率,缩短尿管留置时间,促进肾移植患者术后康复。

Objective To mitigate the risk of urinary catheter related infection among patients after kidney transplantation.Methods Sixty patients who received kidney transplantation during January to June,2016 were chosen as the control group,and another 68 patients during July to December in 2016 into the intervention group.The former received routine care for indwelling urinary catheter,while the latter were monitored by the charge nurses using a self-designed checklist of infection control key points for indwelling urinary catheter.Results The average indwelling time and rate of positive urine culture in the intervention group were significantly shorter and lower than the controls（P〈0.05,P〈0.01）.Conclusion The application of the monitoring checklist of infection control key points for indwelling urinary catheter can effectively lower the risk of catheter related infection in patients after kidney transplantation,shorten the time of catheter indwelling,and ultimately promote patients′postoperative recovery.