清洁间歇性导管决定因素和护理人员的坚持在儿科患者脊髓缩和脊髓损伤在儿科脊髓差异诊所:一个混合方法的研究协议
Azadeh Wickham1,2, Cynthia L Russell2,3, John M Gatti4
1Surgery/Urology, Children's Mercy Kansas City, Kansas City, Missouri, USA apwickham@cmh.edu.
BMJ open
|October 14, 2024
概括
护理人员对患有神经性膀的儿童进行干净间歇性导管治疗 (CIC) 的坚持是不理想的. 了解护理人员的经验和决定因素对于改善坚持和预防尿路感染等并发症至关重要.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 神经科学是一个神经科学.
- 护理人员支持护理人员支持
背景情况:
- 干净间歇性导管 (CIC) 是神经性下泌尿道功能障碍 (NLUTD) 的标准,用于脊髓缩 (SD) 和脊髓损伤 (SCI) 的儿童.
- 低于最佳的CIC (18%-66%) 坚持导致尿路感染,尿失禁和功能不全.
- 有限的研究存在于CIC遵守,特别是从护理人员的角度.
研究的目的:
- 为了确定由于SD和SCI导致的NLUTD儿童的护理人员对CIC的坚持率.
- 探索影响护理人员遵守CIC的决定因素.
- 了解进行CIC的护理人员的个人经历.
主要方法:
- 一个横截面的,相关的,融合的混合方法研究.
- 60名成年护理儿童的SD/SCI在CIC被招募通过方便抽样.
- 量化数据 (坚持,决定因素) 和定性数据 (采访) 同时收集.
主要成果:
- 以频率和百分比报告的依从数据.
- 相关性分析,以评估护理人员决定因素与坚持水平之间的关联.
- 对面试数据进行主题分析,以解释护理人员的经验.
结论:
- 这些发现将为改善儿童患有NLUTD的儿科患者的CIC遵守策略提供信息.
- 计划向参与者传播,在同行评审期刊上发表,以及在会议上发表演讲.
- 这项研究解决了理解儿科CIC管理中的护理人员角色的关键差距.
相关概念视频
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
105
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
105
01:25Peritoneal Dialysis III: Nursing Management
2
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
2
01:29Endocarditis IV: Nursing Management
2
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
2