View : 19 Download: 0

留置導尿管 患者의 肪胱 洗滌에 따른 尿路 感染 發生 頻度에 關한 硏究

Title
留置導尿管 患者의 肪胱 洗滌에 따른 尿路 感染 發生 頻度에 關한 硏究
Other Titles
(A) Study on Incidence of Bacteriuria according to Bladder Irrigation in Patients with Indwelling Catheter
Authors
高景沃
Issue Date
1989
Department/Major
교육대학원 간호교육전공
Keywords
유치도뇨관방광요로감염발생빈도
Publisher
이화여자대학교 교육대학원
Degree
Master
Abstract
病院 感染 중에서도 가장 높은 頻度로 나타나는 尿路 感染의 發生과 관런된 變數를 찾아 臨床 看護師들에게 留置 導尿管 揷入으로 인한 尿路 感染의 豫防에 대한 重要性을 認識시키고, 實際 臨床에서 患者의 看護와 管理에 適用하여 尿路 感染을 낮추는데 도움이 되고자 , 1989年 8月 31日부터 10月 31日까지 서울 市內 K 大 醫療院 傘下 2個大 附屬病院의 重患者室에 入院하고 있는 患者 중에서, 留置 導尿管 揷入 전에 尿路 感染이 없었던 患者로 留置 導尿管을 揷入하고 閉鎖式 排尿管을 使用하고 있는 46명을 對象으로 하였다. 留置 導尿管 揷入 後 膀胱 洗滌 유.무별에 따른 尿路 感染의 豫防에 대한 效果와 특히, 2-管腔 留置 導尿管과 3-管腔 留置 導尿管을 使用하여 留置管 種類에 따른 膀胱 洗滌의 效果를 比較하기 위해서 尿路 感染의 發生頻度를 調査하여 다음과 같은 結果를 얻었다. 1. 膀胱 洗滌 有.無에 따른 尿路 感染 發生 頻度는 膀胱 洗滌을 施行한 경우에는 23명중 5명 (21.7%), 膀胱洗滌을 施行하지 않는 境遇에는 23명중 6명 (26.1%)에서 尿路 感染이 나타났다. 2. 膀胱 洗滌을 하지 않는 群 23명에서 揷入 期間別 尿路 感染 發生 頻度를 보면, 48시간 後 1명 (4.3%), 72시간 後 2명 (8.7%), 96시간 後 5명 (21.7%)에서 尿路 感染이 나타났다. 3. 膀胱 洗滌 群에서 揷入 期間別 尿路 感染 發生 頻度를 보면, 2-管腔 留置 導尿管을 使用한 12명 境遇에 72시간 後까지 0 이었고, 96시간 後에는 1명 (4.35%)만이 尿路 感染이 나타났다. 3-管腔 留置 導尿管을 使用한 11명 境遇에는 48시간 後 3명 (13%), 72시간 後 2명 (8.7%), 96시간 後에는 1명 (4.3%)으로 尿路 感染이 나타났다. 4. 留置 導尿管 揷入 期間에 따른 尿路 感染 發生 頻度는 揷入 48시간 後 4명 (8.7%), 72시간 後 4명 (8.7%), 96시간 後 7명 (15.2%)으로 나타났다. 性別로 보면, 尿路 感染 發生 頻度는 女子인 경우 20명중 7명 (35%), 男子인 경우 26명중 4명 (15.4%)으로 나타났다. 5. 意識 狀態에 따른 尿路 感染 發生 頻度를 보면, 意識이 明瞭한 경우에는 19명중 3명 (15.8%), 意識 障碍가 있는 경우에는 27명중 8명 (29.6%)에서 尿路 感染이 나타났다. 6. 尿路 感染에 관련된 細菌種의 分布는 그람 음성균이 63.7% 이었고, 그람 양성균이 36.3%로 나타났다.;The Purpose of this study is for clinical nurses to be aware of the significance of prevention against bacteriuria caused from foley catheterization, through probing variables related to the occurrrence of bacteriuria which appears as the most frequent occurring infection, and try to lower bacteriuria by applying to nursing care at the clinical. For this study 46 patients with catheterization and the closed drainage system were sampled and investigated from among patients at Intensive Care Unit in two hospitals affiliated to K University in Seoul. Those patients sampled had not shown bacteriuria before foley catheterization. The research design is to explore the effectiveness of prevention against bacteriuria in accordance with bladder irrigation and no bladder irrigation. Especially, the frequency of occurrence of bacteriuria examined so as to compare the effectiveness of bladder irrigation depending on the type of foley catheter between 2-lumen foley catheter and 3-lumen foley catheter. The results were as follows. 1. The occurrence of bacteriuria in patient with bladder irrigation was 21.7%, while in patient without bladder irrigation 26.1%. 2. The occurrence of bacteriuria in patient without bladder irrigation according to duration of indwelling catheter, was 4.3% after 48 h, 8.7% after 72 h and 21.7% after 96 h. 3. In case of 2 - lumen foley catheter, the occurrence of bacteriuria in patient with bladder irrigation was 0% after 72 h, and 4.35% after 96 h. In case of 3 - lumen foley catheter, the occurrence of bacteriuria in patient with bladder irrigation was 13% after 48 h, 8.7% after 72 h and 4.3% after 96 h. 4. The occurrence of bacteriuria according to duration of catheterization was 8.7% after 48 h, 8.7% after 72 h and 15.2% after 96 h. In sex, female was 35% and male 15.4%. 5. The occurrence of bacteriuria according to mental state was 15.8% in clear state, while 29.6% in mental disorder. 6. In regard to a kind of microorganism induced bacteriuria, Gram negative bacteria was 63.7%, Cram positive bacteria 36.3%.
Fulltext
Show the fulltext
Appears in Collections:
교육대학원 > 간호교육전공 > Theses_Master
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE