[Using an Indicator-Based Reminder of Catheter Removal to Effectively Decrease Catheter-Associated Urinary Tract Infections in General Medical Patients].

BACKGROUND: Urinary tract infections are a common iatrogenic infection in healthcare institutions. Catheter-associated urinary tract infections (CAUTIs) may result in sepsis, prolonged hospitalization, additional hospital costs, and mortality. PURPOSE: The study examined the efficacy of an indicator-based reminder of catheter removal in decreasing CAUTIs among patients in the general medical ward. METHODS: A two-group, quasi-experimental design was used. The intervention strategies included daily implementation of the indicator-based reminder procedure and standardized Foley care and a teaching program for all staff nurses. All patients who received Foley during hospitalization were included, with the exception of those with CAUTI at admission. Seventy-five patients were enrolled from five wards in a medical center, with 33 assigned to the control group and 42 assigned to the experimental group. 方法: 本研究為類實驗性設計，介入措施為每日施行「依適應症提示移除尿管」之流程與標準尿管照護，並對護理人員進行教育課程。收案條件為留置導尿管病人，若入院時已發生泌尿道感染者則排除。於北部某醫學中心的五個內科病房為研究單位，共收案75人，含對照組33位與實驗組42位病人。. 結果: 實驗組發生泌尿道感染人數為7人（16.7%），對照組為15人（45.5%）此差異達顯著（p = .014）；實驗組導尿管留置天數11.0天，對照組12.9天，實驗組導尿管留置天數較控制組減少14.73%；實驗組感染密度為15.2%，對照組感染密度則為35.3%。. 結論／實務應用: 本研究發現，「依適應症提示移除尿管」能降低泌尿道感染率及感染密度。臨床應用建議，內科病房醫護人員每日依適應症提示移除尿管，偵測不必要的導尿管留置，提早移除尿管，以減少感染發生。.