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외요도구 간호가 노인중환자의 유치도뇨관 관련 요로감염에 미치는 효과

 Effects of Meatal Care in Reduction of Catheter-associated Urinary Tract Infection for Elderly Patients in the ICU

기본간호학회지 2008년 15권 4호 p.449 ~ 456
KMID : 0388320080150040449
신재선 ( Shin Jae-Sun ) - 가톨릭대학교 의정부성모병원 간호부

송경애 ( Sohng Kyeong-Yae ) - 가톨릭대학교 간호대학

Abstract

Purpose: The purpose of this study was to compare the effects of meatal care with 10% betadine or with normal saline on the incidence of urinary tract infection (UTI) for elderly patients with indwelling urinary catheter in the ICU.

Method: A quasi experimental design with non-equivalent control group was used. The 37 patients who participated in this study were 65-year-old or older. Patients in the saline group (n=20) received meatal care with normal saline and those in the betadine group (n=17) received meatal care with 10% betadine once a day for 6 days. Urine cultures were done on the 7th day for both groups to detect UTIs.

Results: No difference was observed in the incidence of urinary tract infection between the two groups, regardless of patients’ gender, ability to communicate or history of operation.

Conclusion: The results indicated that use of saline which is cheap and does not irritate the mucous membrane is effective in preventing UTI within the first 7 days, and can be used instead of betadine for meatal care for elderly patients with indwelling urinary catheter in the ICU.
KeyWords
노인, 요로감염, 중환자실
Elderly, Urinary tract infection, Intensive care unit
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학술진흥재단(KCI) KoreaMed