女性婴幼儿气囊导尿管导尿临床风险的分析及护理对策  

The analysis and nursing countermeasures of clinical risk on the female infants balloon catheter catheterization

作　　者：戴一希[1] 赵玲玲[1] 章敏[1] 洪汝蛟 周成[1] 

机构地区：[1]温州医科大学附属第二医院育英儿童医院儿童肾内科,浙江温州325027

出　　处：《中国现代医生》2016年第32期140-143,共4页China Modern Doctor

基　　金：国家人口和计划生育委员会科技司项目(C1-82);浙江省温州市科学技术局项目(Y20120203)

摘　　要：目的 探讨女性婴幼儿气囊导尿管导尿的相关临床风险问题并采取应对措施,以提高导尿成功率,降低导尿风险。方法 采用质性研究的内容分析法,通过访谈并现场检视护士对女性婴幼儿气囊导尿管导尿操作过程,形成文字资料并进行分析、归纳,查找导尿过程中的临床风险问题,制定护理对策,比较实施护理对策前后患儿导尿成功率和相关临床风险问题发生情况。结果 实施新护理对策后,患儿首次导尿成功率由83.2%提高到91.5%（χ-2=4.190,P=0.041）;未发生导尿相关风险问题。结论 进行导尿的一体化培训和导尿操作实践的风险管理是提高导尿成功率,降低导尿风险的保证。Objective To investigate the related clinical risk of female infants balloon catheter catheterization, and adopt measures to improve the success rate and reduce the risk of urethral catheterization. Methods The research used the content analysis in qualitative study which relied on interviews and examinations of the female infants＇ balloon catheter catheterization operations by nurses to form text data, analysis and induction, to find the clinical risk problem in the process of urethral catheterization, to develop nursing countermeasures, as well as to compare the success rates of urethral catheterization and related clinical risk issues before and after the implementation of the new nursing countermeasures. Results After the implementation of the new nursing countermeasures, the success rate of urethral catheterization for the first time rose from 83.2% to 91.5%（χ-2=4.190, P=0.041）, without the occurrence of risk problems related to urethral catheterization. Conclusion To guarantee the improvement of success rate and reduce the risk of urethral catheterization, should devote to integration training and operation practice risk management of urethral catheterization.

关 键 词：女性婴幼儿 气囊导尿管 导尿 风险 护理 

分 类 号：R472[医药卫生—护理学]