Catheter blockage factors in patients cared for in their own home requiring long‐term urinary catheterisation
Catheter blockage factors in patients cared for in their own home requiring long‐term urinary catheterisation
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需要长期导尿的在家护理患者的导管堵塞因素
DOI：
10.1111/ijun.12123
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发表时间：
2016
影响因子：
0.5
通讯作者：
Moriyoshi Fukuda and Manabu T. Moriyama
中科院分区：
文献类型：
--
作者：
Shuko Maeda;Takako Takiuti;Yumiko Kohno;Hisao Nakai;Moriyoshi Fukuda and Manabu T. Moriyama
由于大小便失禁和护理负担，在家中护理的患者早期拔除尿管往往很困难，导致导尿持续时间较长。尿路感染和导尿管堵塞是长期导尿相关的主要并发症。本研究旨在探讨长期留置导尿管患者尿管堵塞的发生特点，找出长期留置导尿管患者发生导尿管堵塞的原因，并对154例长期留置导尿管患者进行研究。护理经理通过问卷调查收集患者资料，33.8%的需长期留置导尿管的患者在前6个月内发生导管堵塞，平均为3.0次，说明导管堵塞是反复发生的。以下管理因素与导尿管堵塞的频率显著相关：“检查尿量”、“检查导尿管的弯曲和变形”和“检查尿路感染症状”，以便护理者进行导尿管管理。与导管堵塞相关的症状包括“尿液混浊”、“尿量减少”、“腹痛”和“导尿时间”。在未来，我们希望通过结合这项研究的发现，制定方案来帮助来访护士提高他们处理需要长期导尿的患者的导管堵塞的能力。
Early urinary catheter removal from patients cared for in their own home is often difficult because of incontinence and care burdens, resulting in long duration of catheterization. Urinary tract infection and catheter blockage are major complications associated with long‐term catheterization. Preventing these complications is important for patients who require long‐term catheterization in their own home.This study aimed to examine the occurrence characteristics of urinary catheter blockage and to identify the causative factors of catheter blockage in patients cared for in their own home requiring long‐term urinary catheterization.The study targeted 154 patients cared for in their own home requiring long‐term urinary catheterization. Patient data were collected by questionnaire by the nurse manager.Catheter blockage occurred in 33·8% of patients requiring long‐term catheterization within the first 6 months, and the mean frequency in these patients was 3·0, indicating that catheter blockage occurs repeatedly. The following management factors significantly correlated with the frequency of catheter blockage: ‘check urine volume’, ‘check for flexion and distortion of the catheter’ and ‘check urinary tract infection symptoms’ for catheter management by caregivers. Symptoms correlated with catheter blockage included ‘cloudiness of the urine’, ‘decreased urine volume’, ‘abdominal pain’ and ‘duration of catheterization’. In the future, we would like to prepare the protocol to help visiting nurses improve their abilities to manage catheter blockage in patients requiring long‐term catheterization, by incorporating the findings from this study.