Kennedy A P, Brocklehurst J C
J Adv Nurs. 1982 Sep;7(5):411-7. doi: 10.1111/j.1365-2648.1982.tb00257.x.
A survey of 107 hospitalized and home-based patients showed up considerable variations in nursing management of indwelling catheters. CSU records of hospitalized patients showed a wide range of infecting organisms. Antibiotic treatment was found to be unimportant. Three types of male Foley catheter were in general use: 100% silicone, silastic and latex with teflon-treated coatings. Difficulties were reported in obtaining the 100% silicone catheters. Sixty-eight per cent of the patients used leg bags and the drainage bag supporting systems in use were felt to be inadequate. Catheter bypassing was a problem for 40% of the patients. Nurses adopted many procedures to cope with bypassing. Results show that some patients were needlessly catheterized. The study emphasizes the need for further investigations and better policies for management of long-term catheters.
一项针对107名住院患者和居家患者的调查显示，留置导尿管的护理管理存在相当大的差异。住院患者的中央灭菌供应室（CSU）记录显示感染生物体种类繁多。研究发现抗生素治疗并不重要。通常使用三种类型的男性福勒导尿管：100%硅胶材质、硅橡胶材质以及带有聚四氟乙烯涂层的乳胶材质。据报告，获取100%硅胶导尿管存在困难。68%的患者使用腿袋，且人们认为现有的引流袋支撑系统并不完善。40%的患者存在导尿管旁通问题。护士们采取了多种措施来应对旁通问题。结果表明，一些患者被不必要地插入了导尿管。该研究强调需要进一步调查，并制定更好的长期导尿管管理政策。
