유치도뇨관 삽입 전 요도구 세정방법에 대한 근거기반간호 사례

• 영문명: Evidence-based Nursing Case for Method of Cleaning the Urinary Meatus before the Insertion of the Indwelling Urinary Catheter
• 발행기관: 한국근거기반간호학회
• 저자명: 조은혜 김민지 김민지 김희준 이선혜 이화음 최고나 장미근 박정옥 이미정 이현진 하지연
• 간행물 정보: 『근거와 간호』제11권 제1호, 18~24쪽, 전체 7쪽
• 주제분류: 의약학 > 간호학
• 파일형태: PDF
• 발행일자: 2023.12.31

국문 초록

Purpose: This systematic review was conducted to determine whether a difference exists in the incidence of urinary tract infections be-tween disinfectant, normal saline, and sterile water when periurethral cleaning before the insertion of the indwelling urinary catheter. Methods: Published studies of patients of all ages in medical institutions from January 2000 to December 2023 were searched in PubMed, CINAHL, Cochrane, RISS, KISS, and KoreaMed online databases in January 2024. Guidelines were evaluated as Appraisal of Guidelines for Research and Evaluation II (AGREE II). Randomized studies were assessed using Risk of Bias 2. Scottish Intercollegiate Guidelines Network (SIGN) was used to determine the level of evidence based on the quality evaluation results. Results: Five research works (three studies and two guidelines) were included according to the selection criteria. In three randomized controlled trials, no statis-tically significant difference was found in urinary tract infection rates between disinfectant, normal saline, and sterile water. Two guidelines suggested that disinfectant and normal saline could be washing solutions before catheter insertion. Conclusion: Using normal saline or sterile water for periurethral cleaning is expected to increase patient satisfaction by relieving skin irritation and reducing hospital costs.

목차

배경 및 목적

임상질문

근거검색

근거의 비평적 평가

권고등급과 권고안

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평가

키워드

Urinary catheters Urinary tract Infections Disinfectants Saline solution Evidence-based practice