清洁间歇性导管的决定因素和护理人员在儿科患者脊髓缩和脊髓损伤的坚持:一个混合方法研究研究
Azadeh Wickham1, Cynthia L Russell2, Steven R Chesnut2
1Children's Mercy Hospital, Division of Urology, 2401 Gillham Road, Kansas City, MO, 64108, USA.
Journal of pediatric urology
|December 30, 2025
概括
在患有脊髓缩症 (SD) 和脊髓损伤 (SCI) 的儿童中,护理人员遵守干净间歇性导管 (CIC) 非常重要. 谨慎和心理健康等因素显著影响了坚持率.
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.
- 康复医学 康复医学 康复医学
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,用于患有脊髓缩症 (SD) 和脊髓损伤 (SCI) 的儿童.
- CIC协议给护理人员带来了巨大的负担,影响了其遵守.
研究的目的:
- 确定SD和SCI儿童的CIC坚持率.
- 检查护理人员决定因素和CIC遵守之间的关系.
- 探索个人经验如何影响护理人员遵守CIC.
主要方法:
- 对患有SD和SCI儿童的成年护理人员进行分层抽样.
- 使用清洁间歇性导管护理人员问卷 (CIC-cgQ) 确定因素.
- 采用间歇性导管粘附量表 (ICAS) 进行粘附测量.
- 进行了采访,以了解护理人员的看法.
主要成果:
- 在护理人员中观察到65%的CIC不遵守率.
- 在CIC-cgQ上,较高的复合分数与增加的坚持有显著的相关性 (r=0.604,p<0.01).
- 关键的决定因素与坚持积极关联包括易用性,方便性,谨慎性和心理健康.
结论:
- 在儿科SD和SCI群体中,护理人员显著不遵守CIC.
- 谨慎和心理健康是影响遵守的关键决定因素.
- 调查结果为改善CIC协议和为护理人员提供支持提供了见解.
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