THE USE OF URETHRAL, CONDOM, AND SUPRAPUBIC CATHETERS IN AGED NURSING-HOME PATIENTS
THE USE OF URETHRAL, CONDOM, AND SUPRAPUBIC CATHETERS IN AGED NURSING-HOME PATIENTS
复制标题
DOI：
10.1111/j.1532-5415.1990.tb01469.x
复制
发表时间：
1990-07-01
影响因子：
6.3
通讯作者：
WARREN, JW
中科院分区：
文献类型：
--
作者：
HEBEL, JR;WARREN, JW
在这项对美国马里兰州53家随机选择的疗养院的4259名老年患者的研究中，我们发现10%的女性和15%的男性使用尿液收集设备。在拒睡患者中，47%的女性和58%的男性使用尿液收集装置，在压疮患者中，37%的女性和33%的男性使用尿液收集装置。留置导尿管是最常用的留置尿管装置。事实上，对于女性来说，几乎没有其他选择：93%的女性使用这种设备。在女性中，多元Logistic回归分析表明，压疮和长期护理床位的占用是与导尿管使用最密切相关的因素。在有尿液收集装置的男性中，43%的人使用导尿管；活动状况差是与使用导尿管最相关的特征。长期导尿已经得到了很好的研究，并与全身性细菌尿和一些并发症有关。需要进一步探讨各种选择，特别是为妇女提供的体外尿液收集装置。此外，由于导尿术可以作为压疮的一种治疗技术，预防后者可能会减少导尿管的使用及其随后的并发症。
In this study of 4,259 aged patients in 53 randomly selected nursing homes in Maryland [USA], we found that 10% of women and 15% of men used a urine collection device. Among bedfast patients, 47% of women and 58% of men and, among patients with decubitus ulcers, 37% of women and 33% of men were using a urine collection device. The indwelling urethral catheter was the most commonly used device. Indeed, for women, few other options were available: 93% of women used this device. In women, multiple logistic regression analysis indicated that presence of a decubitus ulcer and occupation of a long-term care bed were the attributes most strongly associated with the use of the urethral catheter. Of men with urine collection devices, 43% were using the urethral catheter; poor mobility status was the characteristic most strongly associated with its use. Long-term urethral catheterization has been well studied and is associated with universal bacteriuria and with a number of complications. Options need to be further explored, particularly external urine collection devices for women. Furthermore, because urethral catheterization may be used as a management technique for decubitus ulcers, prevention of the latter may diminish the use of urethral catheters and their subsequent complications.