應用「導尿管移除評估指標」對降低泌尿道感染之成效

Effectiveness of Guidelines for Removal of Indwelling Urinary Catheter to Reduce Urinary Tract Infections

本研究目的在探討應用「導尿管移除評估指標」對病人泌尿道感染發生率及住院天數之影響。採隨機分配的實驗性研究設計，於台灣北部2900 床的醫學中心之胸腔重症加護室及呼吸治療加護室，共收案278 位導尿管留置病人。將所有病人隨機分配至實驗組與對照組，實驗組於導尿管留置第7 天，以「導尿管移除評估指標」評估，確定無符合指標即移除導尿管，對照組則未使用「導尿管移除評估表」。結果發現實施「導尿管移除評估指標」後每千置管天數中泌尿道感染危險機率由18.4‰降至14.4‰ （p=.036），導尿管留置天數由15.8 天縮短至12.3 天（p=.018）；在總住院天數（p=.898）及加護病房天數（p=.244）方面皆未達統計上顯著差異。證實執行「導尿管移除評估指標」能早期移除導尿管，並有效降低泌尿道感染發生率。

This study developed a Chinese version of an interactive video games satisfaction and feasibility questionnaire with reliability and validity tests. We collected items from related literature to prepare the questionnaire. The questionnaire was translated into Chinese from English from items available in the literature. The wording and meaning were modified based on the recommendations of two experts. A total of 10 different subject matter experts were invited for validity. We sampled 34 adults for the test-retest reliability of the questionnaire. The participants completed the questionnaire independently. Participants first filled out the Chinese version of the questionnaire for interactive video games satisfaction and feasibility. Then, three days later, the participants completed the questionnaire again. After subject matter expert validity, this questionnaire extracted 13 items. The content validity ratio (CVR) was between 0 and 1, and Cronbach's alpha was 0.91. The intraclass correlation coefficients(ICCs) ranged from 0.81 to 0.93. In conclusion, the Chinese Version of the questionnaire was a reliable and valid instrument to evaluate satisfaction and feasibility of interactive video games.