护士主导的留置导尿管拔除模式构建与实施  

Implementation of nurse-led removal of urinary catheter

作　　者：贾静[1] 吴小梅[1] 王金萍[1] Jia Jing;Wu Xiaomei;Wang Jinping(Wound,Ostomy and Continence Nurse Clinic,People′s Hospital Affiliated to Jiangsu University,Zhenjiang 212002,China)

机构地区：[1]江苏大学附属人民医院伤口造口失禁护理门诊,江苏镇江212002

出　　处：《护理学杂志》2020年第9期48-50,共3页Journal of Nursing Science

基　　金：江苏省社会发展重点疾病研发计划项目(EB2016715)。

摘　　要：目的探索护士主导留置导尿管拔除的可行性。方法采用历史对照研究,对照组375例留置导尿患者按常规拔除留置导尿管,干预组293例留置导尿患者实施护士主导的导尿管拔除:根据指南制定留置导尿适应证,建立拔除导尿管后留置导尿的替代方案;通过每日评估导管,膀胱扫描仪测定残余尿量,选择替代方案管理尿失禁和尿潴留。结果干预组不合理使用导尿管率、尿管留置时间及导管相关性尿路感染率显著低于对照组(均P<0.01)。结论护士主导的留置导尿拔除模式的实施,能识别导管相关性尿路感染预防的关键因素,有效缩短置管时间,降低导管相关性尿路感染的发生。Objective To evaluate the feasibility of nurse-led removal of urinary catheter.Methods A historical control study was conducted.The control group of 375 cases were given routine removal of urinary catheter,while the intervention group of 293 cases received nurse-led removal of urinary catheter:indications for catheterization were developed according to guidelines,alternatives to indwelling catheter were formulated,daily evaluation of the catheter and measurement of residual urine volume by bladder scanner were conducted,then alternative measures for managing urinary incontinence and retention were implemented.Results The intervention group had lower unreasonable use of urinary catheter and catheter-related urinary tract infection rate,as well as shorter catheter indwelling time(P<0.01 for all).Conclusion Implementation of nurse-led removal of urinary catheter can effectively identify key causes of catheter-related urinary tract infection,thus to shorten catheter indwelling time and reduce catheter-related urinary tract infection.

关 键 词：留置导尿 尿管 拔除 导管相关性尿路感染 模式构建 替代方案 护士主导 

分 类 号：R471[医药卫生—护理学]