Objective:To explore the related factors of catheter-associated urinary tract infection in intensive care unit and its effect on nosocomial infection.Methods:From June 2018 to October 2019, 1128 critically ill patients were selected and divided into observation group(65 cases) and control group(1063 cases) according to whether or not catheter-associated urinary tract infection occurred. Univariate analysis and logistic regression were used to analyze the risk factors of catheter-associated urinary tract infection in severe patients.Results:The incidence of catheter-associated urinary tract infection was 5.76% (65/1128) in 1128 critically ill patients. A total of 79 strains of pathogenic bacteria were isolated from 65 patients with catheter-related urinary tract infection.Gram-negative bacteria were the main pathogens, accounting for 43.04% (34/79). Fungi and gram-positive bacteria accounted for 25.32% (20/79) and 24.05% (19/79), respectively. There were significant differences in diabetes mellitus, length of hospital stay, invasive operation, duration of indwelling catheter and 24h urine volume between the two groups ( P<0.05). There were no significant differences in gender, age, body mass index (BMI) and combined hypertension between the two groups ( P>0.05). Logistic regression analysis showed that diabetes mellitus ( OR=0.443, 95% CI: 0.228-0.860), invasive operation ( OR=1.613, 95% CI: 1.163-2.104), indwelling catheter time ( OR=2.719, 95% CI: 2.314-4.106) and 24 h volume( OR=4.362, 95% CI: 1.974-10.915) were risk factors for catheter-related urinary tract infection in icu patients ( P<0.05). Conclusions:Concomitant diabetes, invasive procedures, and indwailing time are risk factors for catheter-related urinary tract infections. Medical workers should be developed to reduce the incidence of catheter-associated urinary tract infection and further reduce nosocomial infections.

目的 观察子宫肌瘤全子宫切除术后实施中西医结合护理的效果.方法 选取2014年12月至2015年12月该院收治的180例子宫肌瘤患者为研究对象,均行全子宫切除术,随机选择90例为对照组行西医常规护理,另90例为研究组行中西医结合护理,比较两组患者的下床活动时间、住院时间、住院费用,以及术后并发症的发生情况.结果 研究组下床活动时间、住院时间、住院费用均优于对照组,差异有统计学意义(P<0.05);研究组的术后并发症发生率与护理满意率均优于对照组,差异有统计学意义(P<0.05).结论 子宫肌瘤患者行全子宫切除术后行中西医结合护理,控制了并发症的发生,提高了护理效果,改善了患者的生存质量,值得在临床上推广.

目的 探讨心理干预对ICU患者家属心理状态及应对方式的影响.方法 随机将入组的86名ICU患者陪护家属分为干预组与对照组各43例,对照组采用常规护理,干预组在常规护理基础上给予心理干预,并采用SCL-90、SAS及TCSQ特质应对方式问卷对心理干预前后2组患者家属作测评分析.结果 干预前ICU患者家属SCL-90、SAS量表评分均显著高于国内常模.干预后干预组SAS、SCL-90及TCSQ3个量表的评分均显著优于对照组.结论 心理干预可有效矫正ICU患者家属.的消极应对方式,促进心理健康,为患者家属提供更有力的社会支持.