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Journal of Korean Academy of Fundamentals of Nursing 2008;15(4): 449
외요도구 간호가 노인중환자의 유치도뇨관 관련 요로감염에 미치는 효과
신재선1, 송경애2
1가톨릭대학교 의정부 성모병원
2가톨릭대학교 간호대학
Effects of Meatal Care in Reduction of Catheter-associated Urinary Tract Infection for Elderly Patients in the ICU
Jae-Sun Shin1, Kyeong-Yae Sohng2
1Department of Nursing, Uijungbu St Mary's Hospital The Catholic University of Korea
2College of Nursing, The Catholic University of Korea
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.
Key words: Elderly | Urinary tract infection | Intensive care unit
주요어: 노인 | 요로감염 | 중환자실