Waskiewicz Anna, Alexis Obrey, Cross Deborah
Faculty of Health and Life Sciences, Oxford Brookes University, Swindon.
Senior Lecturer, Faculty of Health and Life Sciences, Oxford Brookes University, Swindon.
Br J Nurs. 2019 May 9;28(9):S4-S17. doi: 10.12968/bjon.2019.28.9.S4.
More than 90 000 of the UK adult population are estimated to have a urinary catheter, with 24% likely to develop symptoms of catheter-associated urinary tract infection (CAUTI). The consequences of having a CAUTI are reduced quality of life, risk of hospitalisation and increased mortality. The authors undertook a literature review of primary research studies to identify how nurses could support patients to maintain effective catheter care to reduce the risk of CAUTI. Four themes emerged: education, knowledge, empowerment and communication. The authors therefore conclude that consistent knowledge, clear communication and treating patients as partners in the decision-making process can help build trust and allow empower patients. This will enable patients to make safe and healthy decisions about their catheter, particularly with regard to personal hygiene and optimal fluid intake, to reducing the risk of CAUTI.
据估计，英国有超过9万名成年人口使用导尿管，其中24%的人可能会出现导尿管相关尿路感染（CAUTI）的症状。CAUTI的后果是生活质量下降、住院风险增加和死亡率上升。作者对主要研究进行了文献综述，以确定护士如何支持患者维持有效的导尿管护理，以降低CAUTI的风险。出现了四个主题：教育、知识、赋权和沟通。因此，作者得出结论，持续的知识、清晰的沟通以及在决策过程中把患者当作合作伙伴，可以帮助建立信任并赋予患者权力。这将使患者能够就其导尿管做出安全健康的决定，特别是在个人卫生和最佳液体摄入量方面，以降低CAUTI的风险。
