建構台灣住院老人留置尿管的監控照護模式
陳清惠 胡芳文
DOI:10.6283/JOCSG.2015.3.1.69
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中文摘要 住院老人不當留置尿管盛行率高達33%~49%，尿管留置易產生多項併發症，不僅會延長住院天數，甚至與死亡率的增加有關。目前台灣相關的研究極為有限，本研究計畫主要目的為建構台灣住院老人留置尿管的監控照護模式。原規劃分三階段進行，第一階段先探討住院高齡病人不當使用留置尿管的現況與相關負向結果，及分析移除尿管後再置入留置尿管的發生率與其相關因素，目前計畫仍持續收案中。本計畫將延續102年度的研究，持續2年的規劃，第一年主要為探討根據102年度研究結果所發展之留置尿管監控模式的成效，採類實驗性研究，於南部某醫學中心，選擇內科及外科病房各一進行介入，針對高齡病人尿管留置總天數、再置入留置尿管人數、留置尿管導致併發症、及住院天數，與前一年該病房的調查結果進行比較。第二年預計採用參與式行動研究，以轉譯所得之實證結果於臨床實務，將選擇一老人科病房，在與醫療人員建立臨床照護伙伴關係後，共同推展所發展留置尿管監控模式，過程中除收集高齡病人留置尿管相關資料外，並收集醫療行政作業上調整與配合及相關醫療人員參與、改變過程之相關資訊，以建構模式的臨床推展流程。
關鍵字：住院老人、留置尿管照護、轉譯研究
文章建立時間：2015-01-29
引用格式(APA)：
陳清惠, 胡芳文(2015)。 建構台灣住院老人留置尿管的監控照護模式。
福祉科技與服務管理學刊， 3(1)， 69-78。
A care model to monitor indwelling urinary catheters among hospitalized elderly patients
Chen, C.-H., Hu, F.-W.
English Abstract The prevalence of hospitalized elderly with improper indwelling catheter is about 33 % to 49 %. Indwelling catheter is a common cause of a number of complications. Not only will it extends the number of days of hospitalization, but also increase in mortality. Related research in Taiwan is extremely limited. The main purpose of this research project is to construct a model of Taiwan's hospitalized older patients to monitor indwelling catheter care. Our research plan is consisted of three stages. The first stage is to explore the current status of hospitalized elderly patients with improper indwelling catheter use and its associated negative impact. The frequency of re-application of the catheter, complications, days of hospital stay will be analyzed. This project is a continuation our study in 2013-14. The first year study is mainly based on the findings in 2013-14 which explore the effectiveness of the development of the indwelling catheter monitoring model. The model is established from a quasi-experimental study in a medical center in the south that one each in internal medicine and surgical ward were chosen. Data such as the total number of days of indwelling catheter for elderly patients, and the number of patients with re-indwelling catheter, the number of patients with indwelling catheter that lead to complications, and the length of hospital stay. The results were compared and studied. The second year adopts a participating action research in order to translate the empirical results obtained from clinical practice. A geriatric ward was chosen for the study. After the establishment of clinical care partnership with health professionals, the development of common indwelling catheter monitoring mode will be promoted. In addition to collecting information for elderly patients with indwelling catheter, medical administrative operations and related adjustments participation and cooperation of the medical staff, the information of the process of change will be collected to construct models of clinical promotion processes.Keywords：hospitalized older patient, care model for urinary cather patient, transitional research