Analysis of related factors of urinary tract infection in patients with urostomy and nursing countermeasures
尿路造口患者泌尿系感染相关因素分析和护理对策

摘要

目的 尿路造口患者泌尿系感染相关因素分析，并采取有效的护理干预措施。方法 研究开展 时间在 2021 年 1 月-2022 年 9 月，将此时间段内我院接受治疗的 66 例尿路造口患者泌尿系感染的发生情况 展开调查，并采取对应的护理干预措施。结果 66 例患者中，出现泌尿系感染的患者有 30 例，感染发生率 为 45.45%。30 例感染患者中，分离出的病原菌共计 29 株，革兰阴性菌、革兰阳性菌、真菌分别为 23 株 （79.31%）、4 株（13.79%）、2 株（6.90%）。尿路造口患者发生泌尿系感染与造口袋更换间隔时间、输 尿管支架管堵塞或未及时更换、饮水量过少等因素有着非常密切的联系。结论 在尿路造口者中，及时更换 造口袋和支架管，保持支架管通畅，保证每日饮水量 2000ml 等措施能够降低泌尿系统感染的发生风险。

Abstract

Objective To analyze the related factors of urinary tract infection in patients with urostomy and take effective nursing intervention measures.
Methods The study was carried out from January 2021 to September 2022. The incidence of urinary tract infection in 66 urostomy patients treated in our hospital during this period was investigated, and corresponding nursing interventions were taken.
Results Among 66 patients, there were 30 patients with urinary tract infection, and the infection rate was 45.45%. Among 30 infected patients, 29 strains of pathogenic bacteria were isolated, including 23 strains (79.31%) of gram-negative bacteria, 4 strains (13.79%) of gram-positive bacteria and 2 strains (6.90%) of fungi. The occurrence of urinary tract infection in patients with urostomy is closely related to the interval between the replacement of the stoma bag, the blockage or failure to replace the ureteral stent in time, and too little water consumption.
Conclusion   In patients with urostomy, the risk of urinary system infection can be reduced by timely replacing the ostomy bag and stent tube, keeping the stent tube unobstructed, and ensuring the daily water consumption of 2000 ml.