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Journal of Korean Academy of Fundamentals of Nursing 2008;15(4): 438
의무기록지 분석과 간호사 면담을 통한유치도뇨관 관리에 관한 간호활동 및 환자결과
장금성1, 정경희2, 최자윤3, 양진주4, 박순주5, 류세앙6, 김남영7, 심재연8
1전남대학교 간호대학 간호과학연구소
2전남대학교 간호대학 간호과학연구소
3남부대학교 간호학과
4전남대학교 간호대학 간호과학연구소
5광주보건대학 간호과
6초당대학교 간호학과
7동신대학교 간호학과
8전남대학교병원 간호부
Nursing Activities and Outcomes Related to Indwelling Urinary Catheterization from a Review of Medical Records and Interviews
Keum-Seong Jang1, Kyung-Hee Chung2, Ja-Yun Choi3, Jin-Ju Yang4, Soon-Joo Park5, Se-An Ryu6, Nam-Young Kim7, Jae-Youn Sim8
1College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science
2Department of Nursing, Nambu University
3College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science
4Department of Nursing, Gwangju Health College University
5Department of Nursing Chodang University
6Department of Nursing, Dongshin University
7Chonnam National University Hospital
8Department of Nursing, Chonnam National University Hospital
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.
Key words: Urinary catheterization | Professional practice | Outcome assessment
주요어: 유치도뇨관 | 간호활동 | 환자결과
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