Current status of long-term indwelling urinary catheter management by visiting nurses
Current status of long-term indwelling urinary catheter management by visiting nurses
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DOI：
10.1111/ijun.12001
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发表时间：
2013-07-01
影响因子：
0.5
通讯作者：
Kyuji, Kazuyo
中科院分区：
文献类型：
--
作者：
Maeda, Shuko;Takiuti, Takako;Kyuji, Kazuyo
家中留置导尿管的患者更有可能接受家访护理。然而，在接受家访护理的患者中，留置导管的患者的状况，以及访问护士实行的导管管理的实际状况，还没有研究。本研究旨在了解长期留置导尿管使用者接受家庭访视护理的情况，以及访视护士对导尿管管理的现况。30名具有长期留置导尿管患者家访护理经验的访视护士参与了本研究。问卷内容包括（1）访视护士的属性，（2）留置导管使用者的状况，（3）访视护士实施导管管理的状况和遇到的困难。结果发现，接受家访护理的患者由于疾病管理和其他原因长期使用留置导管，并出现各种异常症状和并发症，如尿路感染。访视护士对导管管理的观察、实践、指导、配合等项目的落实率高。对访视护士造成困难的导管管理项目包括尿路感染或其他并发症的检测、导管插入、获得导管更换用品、鼓励饮水和与医生合作。本研究的目的是了解长期留置导尿管使用者接受家庭访视护理的情况，以及访视护士对导尿管的管理情况。
Patients with indwelling catheters at home are more likely to receive home-visit nursing care. However, the condition of patients with indwelling catheters among those receiving home-visit nursing care, as well as the actual status of catheter management practised by visiting nurses, has not been studied. The aim of this study was to study the condition of long-term indwelling urinary catheter users receiving home-visit nursing care and the status of catheter management by visiting nurses. Thirty visiting nurses with experience in home-visit nursing care for patients with long-term indwelling catheters participated in this study. The questionnaire covered (1) attributes of visiting nurses, (2) the condition of indwelling catheter users, and (3) the state of implementation of catheter management by visiting nurses and difficulties experienced. It was found that patients receiving home-visit nursing care had used indwelling catheters for a prolonged period for both disease management and other reasons, and they developed various abnormal symptoms and complications such as urinary tract infection. A high percentage of visiting nurses implemented all the items of observation, practice, guidance and cooperation in catheter management. Items of catheter management that caused difficulty for visiting nurses included detection of urinary tract infection or other complications, catheter insertion, obtaining catheter replacement supplies, encouraging ingestion of water and cooperation with physicians. This study concludes by throwing light on the condition of long-term indwelling urinary catheter users receiving home-visit nursing care, and the status of catheter management by visiting nurses.