某大学医院内科病房住院患者导尿管的不当使用情况。
Inappropriate use of urinary catheters in patients admitted to medical wards in a university hospital.
作者信息
Fernández-Ruiz Mario, Calvo Beatriz, Vara Rebeca, Villar Rocío N, Aguado José María
机构信息
Unidad de Enfermedades Infecciosas, Hospital Universitario 12 de Octubre, Instituto de Investigación Hospital 12 de Octubre (i+12), Facultad de Medicina, Universidad Complutense, Madrid, Spain.
出版信息
Enferm Infecc Microbiol Clin. 2013 Oct;31(8):523-5. doi: 10.1016/j.eimc.2013.02.013. Epub 2013 Apr 17.
INTRODUCTION
The prevalence and predisposing factors were determined for inappropriate urinary catheterization (UC) among inpatients in medical wards.
METHODS
A cross-sectional study was conducted including all patients aged ≥ 18 years admitted to medical wards in a 1300-bed tertiary-care centre, and who had a urinary catheter in place on the day of the survey.
RESULTS
Of 380 patients observed, 46 (12.1%) had a urinary catheter in place. Twelve of them (26.1%) were inappropriately catheterized. The most common indication for inappropriate UC was urine output monitoring in a cooperative, non-critically ill patient. Inappropriateness was associated with increased age, poor functional status, urinary incontinence, dementia, and admission from a long-term care facility.
CONCLUSIONS
Further educational efforts should be focused on improving catheterization prescribing practices by physicians.
引言
确定内科病房住院患者中不适当导尿（UC）的患病率及相关因素。
方法
进行了一项横断面研究，纳入了一家拥有1300张床位的三级医疗中心内科病房所有年龄≥18岁且在调查当日留置导尿管的患者。
结果
在观察的380例患者中，46例（12.1%）留置了导尿管。其中12例（26.1%）导尿不适当。不适当UC最常见的指征是对合作的非危重症患者进行尿量监测。不适当导尿与年龄增加、功能状态差、尿失禁、痴呆以及来自长期护理机构的入院情况有关。
结论
应进一步开展教育工作，重点是改善医生的导尿处方行为。
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