Dobson C, Naidu S, Johnson M
Sydney Area Health Service, Australia.
Urol Nurs. 1996 Dec;16(4):140-5.
Nurses are often responsible for the initiation of catherization procedures for patients within the hospital or community setting. This nursing role requires contemporary information on catheter selection and problem solving in the maintenance of urinary catheters. A descriptive survey with a questionnaire sent to registered and enrolled nurses (N = 709) within an Australian metropolitan area health service was undertaken to determine their current knowledge level in relation to catheter care practices. Registered nurses represented 91% of the sample, with 66% of the entire sample having 7 or more years of nursing experience. Only 14% of nurses believed that their knowledge levels were adequate, with very few receiving postregistration education. Only 31% of the respondents recommended the use of purely silicone catheters, these being the least cytotoxic to the urethra for longterm use. Less than half of the respondents were unaware of the availability of female-length catheters. There was a general lack of knowledge of current catheter costs that would have major implications for unit budgets. The apparent gaps in nursing knowledge of catheter care suggest the need for urgent educational programs on catheter care practices for nurses within this service and the initiation of an area-wide standardized policy in catheter selection and management.
在医院或社区环境中，护士通常负责为患者启动导尿程序。这一护理角色需要有关导尿管选择的最新信息以及在导尿管维护方面的问题解决能力。对澳大利亚一个大都市地区卫生服务机构内的注册护士和登记护士（N = 709）进行了一项问卷调查式的描述性调查，以确定他们目前在导尿管护理实践方面的知识水平。注册护士占样本的91%，整个样本中有66%的人有7年或以上的护理经验。只有14%的护士认为自己的知识水平足够，接受注册后教育的人很少。只有31%的受访者建议使用纯硅胶导尿管，这种导尿管对尿道的细胞毒性最小，适合长期使用。不到一半的受访者不知道有女性长度的导尿管。普遍缺乏对当前导尿管成本的了解，这对科室预算会有重大影响。护士在导尿管护理知识方面明显存在差距表明，该服务机构内急需为护士开展关于导尿管护理实践的教育项目，并启动全地区范围内关于导尿管选择和管理的标准化政策。
