加護病房留置導尿管護理照護方式與醫療照護相關泌尿道感染相關因素探討

林煜真

doi:10.6831/TMU.2011.00045

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加護病房留置導尿管護理照護方式與醫療照護相關泌尿道感染相關因素探討

Relative Factors of Foley Care Mode In Intensive Care Unit and Healthcare-associated Urinary Tract Infection

林煜真 , Masters　　Advisor：邱艶芬　　

繁體中文 DOI： 10.6831/TMU.2011.00045

Abstract │ Reference (30) │ Altmetrics

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The purpose of this research is to explore the relationships between the Foley care mode in intensive care units and healthcare-associated urinary tract infection in order to find a great improvement. This is in descriptive and correlation research design, taking six adult intensive care units in a Taipei medical center as an object.
180 Foley catheter possessed cases are collected by judgment sampling and longitudinal follow-up. The data were collected by patient information sheets and foley care information sheets from direct observation, healthcare records, inquiring on-duty healthcare nursing people and medical records.
   SPSS 17.0 is utilized for data analysis and statistical tests; p value set at 0.05. Descriptive statistics, Mann-Whitney U, Fisher's exact test, Chi-square were employed to analyze this significant test of urinary tract infection which happen or not, and seek main danger factors to evaluates the corresponding risk. A multiple linear regression analysis is carried out to predict the values of a dependent variable.
   The results shown there were no statistically significant (p< .05) between Foley catheter possessory and healthcare-associated urinary infection. Whether the patient older than or equal to 70 years old? Whether the patient taking antibiotic or not?  Whether the average void volume less than 2000ml per day? Whether the patient having diarrhea more than or equal to 2 days? Whether the employ haven't disinfected hand before or after the shunts and drainage system? Whether the employ touched the container of the shunt system while falling? The risk factors of infection were list above, and the most predictable factor was "Whether the employ touched the container of the shunts and drainage system ", which represents 38%, next in sequence was "Whether the patient taking antibiotic or not?" and "Whether the patient having diarrhea more than or equal to 2 days?", which respectively represents 12% and 8%. These three factors had united predictive ability reached 57%.
   The results suggest the direction of clinical healthcare improvement, the index of the necessity of possessory of Foley catheter for the high-risk group, reducing the possibility of healthcare-associated urinary tract infection.

Reference ( 30 ) 〈TOP〉

王珮麟(2001)•留置導尿管護理標準及現代化•新台北護理期刊，3(1)，13-22。
連結：
林麗英(1994) •尿管留置病患的護理•護理雜誌，41(1)，73-78。
連結：
張上淳、蘇秋霞、蘇美如、周偉惠、王立信、王復德等人(2008)•2007年台灣院內感染監視系統分析報告•感染控制雜誌，18(6)，387-392。
連結：
行政院衛生署疾病管制局（2009）•2009年CDC醫療照護相關感染監測定義•線上檢索日期：2010 年03 月25 日•網址：http://www.cdc.gov.tw/content.asp?cuitem=15825&mp=1
連結：
Alcaide, M. L., Lichtstein, D. M. (2004). Management of urinary tract infections in patients with urinary catheters. Hospital Physician , 8, 29-33.
連結：

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