Explore monitoring urine PH and fluid intake of ICU patient with Indwelling urinary catheter on predicting the occurrence urinary tract infection

碩士 === 高雄醫學大學 === 護理學研究所 === 101 === Catheter associated urinary tract infection is one of the most common nosocomial infections. The catheterization is often performed on the patients if they are under poor conditions in intensive care units (ICU). However, the incidence of catheter-associated urin...

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Main Authors: Wen-Yuan Lai, 賴玟苑
Other Authors: Shu-Yuan Lin
Format: Others
Language:zh-TW
Published: 2013
Online Access:http://ndltd.ncl.edu.tw/handle/84690541890939691080
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spelling ndltd-TW-101KMC055630022016-05-22T04:32:51Z http://ndltd.ncl.edu.tw/handle/84690541890939691080 Explore monitoring urine PH and fluid intake of ICU patient with Indwelling urinary catheter on predicting the occurrence urinary tract infection 探討尿液酸鹼值及攝液量對加護病房導尿管留置病患泌尿道感染之預測成效 Wen-Yuan Lai 賴玟苑 碩士 高雄醫學大學 護理學研究所 101 Catheter associated urinary tract infection is one of the most common nosocomial infections. The catheterization is often performed on the patients if they are under poor conditions in intensive care units (ICU). However, the incidence of catheter-associated urinary tract infection (CAUTI) in the intensive care units is up to 5.1 ‰. This study was attempted to explore the value of urine pH and fluid intake on the occurrence of urinary tract infection (UTI) for the patients with catheterization in ICU. The longitudinal historical cohort design was adopted for this study, and the purposive sampling was selected for the patients with indwelling urinary catheter and were hospitalized in ICU at a medical center in Kaohsiung. Sixty-one patients participated in this study. The measurement tools include the questionnaires of demographic and disease characteristics, urinary tract infection symptoms questionnaire, intake and output record sheet, urine pH strip and pH test meter. The tests were started after the patients agree to participant the study until they were discharged from the ICU or transferred to the ward. The data were analyzed using chi-square and t-test for descriptive statistics and generalized estimating equation(GEE) for inferential statistics. The results showed that there were significant differences between the first and second urine specific gravity, urine osmolarity, the second urine appearance with turbid and the second test of bacteriuria. It was find the urine appearance with turbid could be used as a predictor of bacteriuria based on the result of GEE. Thus, the urine appearance with or without turbid is recommended to be the indicator of bacteriuria for the early detection of bacteriuria. Shu-Yuan Lin 林淑媛 2013 學位論文 ; thesis 87 zh-TW
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language zh-TW
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description 碩士 === 高雄醫學大學 === 護理學研究所 === 101 === Catheter associated urinary tract infection is one of the most common nosocomial infections. The catheterization is often performed on the patients if they are under poor conditions in intensive care units (ICU). However, the incidence of catheter-associated urinary tract infection (CAUTI) in the intensive care units is up to 5.1 ‰. This study was attempted to explore the value of urine pH and fluid intake on the occurrence of urinary tract infection (UTI) for the patients with catheterization in ICU. The longitudinal historical cohort design was adopted for this study, and the purposive sampling was selected for the patients with indwelling urinary catheter and were hospitalized in ICU at a medical center in Kaohsiung. Sixty-one patients participated in this study. The measurement tools include the questionnaires of demographic and disease characteristics, urinary tract infection symptoms questionnaire, intake and output record sheet, urine pH strip and pH test meter. The tests were started after the patients agree to participant the study until they were discharged from the ICU or transferred to the ward. The data were analyzed using chi-square and t-test for descriptive statistics and generalized estimating equation(GEE) for inferential statistics. The results showed that there were significant differences between the first and second urine specific gravity, urine osmolarity, the second urine appearance with turbid and the second test of bacteriuria. It was find the urine appearance with turbid could be used as a predictor of bacteriuria based on the result of GEE. Thus, the urine appearance with or without turbid is recommended to be the indicator of bacteriuria for the early detection of bacteriuria.
author2 Shu-Yuan Lin
author_facet Shu-Yuan Lin
Wen-Yuan Lai
賴玟苑
author Wen-Yuan Lai
賴玟苑
spellingShingle Wen-Yuan Lai
賴玟苑
Explore monitoring urine PH and fluid intake of ICU patient with Indwelling urinary catheter on predicting the occurrence urinary tract infection
author_sort Wen-Yuan Lai
title Explore monitoring urine PH and fluid intake of ICU patient with Indwelling urinary catheter on predicting the occurrence urinary tract infection
title_short Explore monitoring urine PH and fluid intake of ICU patient with Indwelling urinary catheter on predicting the occurrence urinary tract infection
title_full Explore monitoring urine PH and fluid intake of ICU patient with Indwelling urinary catheter on predicting the occurrence urinary tract infection
title_fullStr Explore monitoring urine PH and fluid intake of ICU patient with Indwelling urinary catheter on predicting the occurrence urinary tract infection
title_full_unstemmed Explore monitoring urine PH and fluid intake of ICU patient with Indwelling urinary catheter on predicting the occurrence urinary tract infection
title_sort explore monitoring urine ph and fluid intake of icu patient with indwelling urinary catheter on predicting the occurrence urinary tract infection
publishDate 2013
url http://ndltd.ncl.edu.tw/handle/84690541890939691080
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