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의무기록지 분석과 간호사 면담을 통한유치도뇨관 관리에 관한 간호활동 및 환자결과

 Nursing Activities and Outcomes Related to Indwelling Urinary Catheterization from a Review of Medical Records and Interviews

기본간호학회지 2008년 15권 4호 p.438 ~ 448
KMID : 0388320080150040438
장금성 ( Jang Keum-Seong ) - 전남대학교 간호대학

류세앙 ( Ryu Se-Ang ) - 동신대학교 간호학과
양진주 ( Yang Jin-Ju ) - 광주보건대학교 간호과
김남영 ( Kim Nam-Young ) - 남부대학교 간호학과
최자윤 ( Choi Ja-Yun ) - 전남대학교 간호대학
정경희 ( Chung Kyung-Hee ) - 남부대학교 간호학과
박순주 ( Park Soon-Joo ) - 초당대학교 간호학과
심재연 ( Sim Jae-Yeun ) - 전남대학교병원 간호부

Abstract

Purpose: The purpose of this study was to identify nursing activities and to analyze patient outcomes related to indwelling urinary catheterization.

Method: A review was done of 628 medical records from five units for patients admitted between January 1 and June 30, 2006. Twelve nurses who worked in the same units were interviewed.

Results: In the interviews, nurses reported considering several non-invasive interventions prior to catheterization but there were no medical records of this activity. Results from the in-depth interviews showed that infection control activities such as urinary bag management were conducted but again there were no medical records. Seventy-five percent of the catheters were removed without prescription. In the medical records there were no notes for approximately 15%, on the time of first voiding and 80%, on volume of first voiding after removal of catheter. There was a significant difference in hospitalization days between the group catheterized for 5 days or less and the group catheterized for 6 days or more.

Conclusion: Results indicate a need to close the gap between recorded and described activities and between current and best evidence based practice. Further study is needed to develop a standard recording system and guidelines related indwelling catheterization to decrease the gaps identified in this research.
KeyWords
유치도뇨관, 간호활동, 환자결과
Urinary catheterization, Professional practice, Outcome assessment
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학술진흥재단(KCI) KoreaMed