GEREKSİZ KULLANILAN KALICI ÜRİNER KATETERLERİN SONLANDIRILMASI İÇİN HATIRLATICI MÜDAHALE YÖNTEMLERİ

Yıl 2021, Cilt: 4 Sayı: 1, 28 - 45, 01.04.2021

Şenay Şener Özalp Yurdanur Dikmen

Öz

Hastane kaynaklı idrar yolu enfeksiyonu gelişen hastaların %60-80’inde enfeksiyon gelişmesinde kalıcı üriner kateterlerin sorumlu olduğu ve üriner kateterin her gün için hastada %5-10 enfeksiyon riskini artırdığı belirtilmektedir. Yoğun Bakım Ünitelerinde (YBÜ) nerdeyse her hasta için üriner kateter kullanılmakta ve üriner kateter ilişkili enfeksiyon oranının %30-40 olduğu bildirilmektedir. YBÜ görülen nozokomiyal enfeksiyonlar arasında ikinci sırada üriner kateter ilişkili enfeksiyonların yer aldığı vurgulanmaktadır. Kaldı ki üriner kateter ilişkili üriner sistem enfeksiyonu (ÜKİ-ÜSE) oranlarının yoğun bakım ünitesinde yatmayan hastalarda da benzer olduğu literatürde belirtilmektedir.
Üriner kateterler hasta yönetimi için önemli bir tıbbi cihaz olmasına rağmen kateterlerin uzun süreli ve gereksiz kullanımı, hem enfeksiyöz hem de enfeksiyöz olmayan komplikasyonlara neden olma açısından hasta güvenliği için de risk oluşturur.
ÜKİ-ÜSE insidansını azaltmak için en önemli değişebilir risk faktörü gereksiz kateter kullanımının azaltılmasıdır. Üriner kateterlerin uzun süreli ve gereksiz kullanımı önlemek için hastaların sürekli kateter ihtiyaçlarını değerlendirmek üzere hatırlatıcı müdahaleler geliştirilmiştir. Günlük kontrol listeleri, yazılı-sözlü hatırlatmalar, hastanın çizelgesi veya kateter torbasınının üzerine etiketleme, bir elektronik cihaz yardımı veya hastane bilişim sistemleri üzerinden hatırlatmalar olarak çeşitli müdahaleler yapılabilmektedir. Hatırlatma müdahalelerinde 24 saat hastayı takip eden hemşirelerin kilit rol oynayacağı düşünülmektedir.

Anahtar Kelimeler

Üriner Kateter, Hatırlatıcı müdahaleler, Hemşire

Destekleyen Kurum

Makaleyi destekleyen herhangi bir kurum bulunmamaktadır.

REMINDER INTERVENTION METHODS FOR TERMINATION OF NON-USED PERMANENT URINARY CATHETERS SUMMARY

Öz

It is reported that 60-80% of patients with hospital-acquired urinary tract infections are responsible for the development of permanent urinary catheters and that the urinary catheter increases the risk of infection by 5-10% per day. In the ICUs, urinary catheters are used for almost every patient and associated urinary catheters are used. infection rate is reported to be 30-40%. It is emphasized that urinary catheter related infections are the second most common nosocomial infections seen in ICU. In addition, urinary catheter-related urinary tract infection (UTI-UTI) rates are similar in patients who are not hospitalized in the intensive care unit.
Although urinary catheters are an important medical device for patient management, long-term and unnecessary use of catheters poses a risk for patient safety in terms of causing both infectious and non-infectious complications.
The most important variable risk factor to reduce the incidence of UTI-UTI is to reduce unnecessary catheter use. To prevent prolonged and unnecessary use of urinary catheters, reminding interventions have been developed to evaluate the continuous catheter needs of patients. Various interventions can be performed, such as daily checklists, written and oral reminders, labeling on the patient's chart or catheter bag, assistance with an electronic device or reminders via hospital information systems. It is thought that nurses following the patient for 24 hours will play a key role in reminder interventions.

Anahtar Kelimeler

Urinary catheter infection, reminder ınterventions, nurse

Kaynakça

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