护理学报2018，Vol.25Issue(5)：1-5,5.DOI:10.16460/j.issn1008-9969.2018.05.001
长期留置导尿患者成功拔除导尿管的最佳指南意见
Guideline Summary on Successful Removal of Urinary Catheter in Patients with Long-term Indwelling Urinary Catheters
摘要
Abstract
Objective To evaluate and summarize the available guidelines on the successful removal of urinary catheter in patients with long-term indwelling urinary catheters. Methods We searched the Cochrane Library, Joanna Briggs Institute Library (JBI), Registered Nurses' Association of Ontario (RNAO), National Guideline Clearing house(NGC), EBM reviews, PubMed, EMbase, CBM, as well as the official websites of public health department of many countries, to retrieve the related guidelines on urinary catheter removal. Two trained reviewers assessed the quality and extracted the data independently. Results Five guidelines were included, and five items of best evidence were summarized including evaluating the necessity of catheterization and promoting the earlier removal of non-clinically indicated catheter (grade-A recommendation); employing the nurse-oriented urinary catheter reminder system and order terminating system (grade-A recommendation); performing bladder training before the removal, but not through the clipping of catheter before the removal (grade-B recommendation); no wide usage of antimicrobials before or after catheter removal without clinical indication (grade-A recommendation) and close monitoring after catheter removal to know about the bladder function (grade-A recommendation).Conclusion More attention should be paid to the timing and skill of catheter removal,so as to reduce the occurrence of catheter-associated adverse events.Since there are still controversies on evidence about catheter removal,more prospective studies of high quality are needed to guide evidence-based clinical practice and ensure patients'safety.关键词
留置导尿/拔管/循证护理Key words
urinary catheterization/removal/evidence-based nursing分类
医药卫生引用本文复制引用
李飞,宋美璇,李显蓉..长期留置导尿患者成功拔除导尿管的最佳指南意见[J].护理学报,2018,25(5):1-5,5.基金项目
四川省科技厅资助项目(2016SZ0062) （2016SZ0062）
四川省科技厅与泸州市人民政府、泸州医学院联合科研专项资金计划项目(2014TSX-0075) （2014TSX-0075）
