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題 名 | 加護病房實施「存留導尿管照護群組」之成效評價=The Effectiveness of a Urinary Catheter Care Bundle on Patients with Indwelling Catheters in Intensive Care Units |
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作 者 | 張美玉; 王富瑩; 王筱華; 王凱君; 張靜雯; | 書刊名 | 榮總護理 |
卷 期 | 26:4 2009.12[民98.12] |
頁 次 | 頁336-345 |
分類號 | 419.73 |
關鍵詞 | 存留導尿管照護群組; 導管相關泌尿道感染; Urinary catheter care bundle; Catheter associated urinary tract infection; |
語 文 | 中文(Chinese) |
中文摘要 | 導尿管相關泌尿道感染被視為健康照護相關感染的主要來源,導尿管使用頻繁造成病人的致病性,帶來健康照護體系的財務負擔。本研究目的為檢視實施「存留導尿管照護群組」對加護病房之導尿管留置天數及導管相關泌尿道感染密度之效果及加護病房護理人員的泌尿道感染知識與無菌導尿技術分數之差異。研究設計採取不同樣本前、後測之類實驗法,於某醫學中心六個加護病房有導尿管留置病人進行收案,實驗組1301人,對照組1258人。「存留導尿管照護群組」包括實施教育訓練、無菌導尿技術示教及查核、護理人員每日查核病人之導尿管是否符合適應症,以提醒醫師儘早拔除不必要的導尿管。研究結果顯示存留導尿管照護群組顯著降低加護病房病人的導尿管留置平均天數(7.47±2.7天vs12.1±3.5天,p=.044),雖然實驗組之導管相關泌尿道感染密度低於對照組,但未達顯著差異(5.85±0.64‰ vs 6.64±0.61‰, p=.373)。經過教育訓練及技術示教,加護病房護理人員的泌尿道感染知識與正確導尿技術分數均有明顯進步。未來仍需持續執行「存留導尿管照護群組」以降低導管相關泌尿道感染。 |
英文摘要 | Catheter-associated urinary tract infections (CAUTI) are widely recognized as a major source of health care-associated infection. The objective of this study was to examine the effectiveness of the urinary catheter care bundle during of urinary catheterization and incidence density of CAUTI in ICUs. Separate pre-post samples of quasi-experimental design were executed in six adult ICUs. There were 1301 patients in the experimental group, and 1258 in the comparison group. The urinary catheter care bundle included: education program, aseptic urinary catheterization and daily assessment for removal of the unnecessary use of urinary catheter. The study results revealed that the patients in the experimental group significantly reduced the duration of urinary catheterization (7.47±2.7 days vs 12.1±3.5, p=.044), but a significant difference was not observed in incidence density of CAUTI (5.85±0.64‰ vs 6.64±0.61‰, p =.373). The scores on the urinary tract infection knowledge and urine catheterization procedure of ICU nurses were improved after introduction of educational program and skill demonstration. Further studies are needed to examine the effects of the urinary catheter care bundle on catheter associated urinary tract infection. |
本系統中英文摘要資訊取自各篇刊載內容。