Crow R, Mulhall A, Chapman R
Nursing Practice Research Unit, Department of Biochemistry, University of Surrey, Guildford.
J Adv Nurs. 1988 Jul;13(4):489-95. doi: 10.1111/j.1365-2648.1988.tb02855.x.
A survey of patients with an indwelling urethral catheter was conducted over a 14-day period in five randomly selected district general hospitals in England. The demographic characteristics of the patients and the types of catheter and urinary drainage bags used were recorded. Observational techniques were used to describe nursing care during meatal cleansing and bag emptying Over the 14-day study period 294 patients were catheterized giving an overall daily incidence of catherization of 11.2 per 1000 of the average daily population. Nurses inserted over 50% of catheters and subsequently maintained all closed urinary drainage systems. The closed system was broken for 42% of patients and only 48% of drainage bags were always observed in the correct position. Techniques aimed at preventing infection were observed more frequently when meatal cleansing was performed separately from daily hygiene. The frequency of hand washing, both before and after meatal cleansing and bag emptying, was low. It is concluded that the procedures and practices involved in the care of the urinary drainage system require re-evaluation and re-emphasis.
在英国随机选取的五家地区综合医院，对留置尿道导管的患者进行了为期14天的调查。记录了患者的人口统计学特征以及所使用的导管和尿液引流袋的类型。采用观察技术描述尿道口清洁和引流袋排空期间的护理情况。在为期14天的研究期间，共对294例患者进行了导尿，导尿的总体日发生率为每1000平均日人口中11.2例。超过50%的导管由护士插入，随后维护所有密闭尿液引流系统。42%的患者的密闭系统被破坏，仅48%的引流袋始终处于正确位置。当尿道口清洁与日常卫生分开进行时，预防感染的技术观察得更频繁。尿道口清洁和引流袋排空前后的洗手频率都很低。得出的结论是，尿液引流系统护理所涉及的程序和做法需要重新评估和重新强调。
