中風病人預防泌尿道感染之探討

Provision of Nursing Assistants Through Outsource to Employment: An Example in a Regional Teaching Hospital

腦中風病人常見的泌尿道感染併發症，其原因多來自導尿管放置，因此，照護腦中風病人的專業護理人員，需熟知泌尿系統的結構、導尿管使用的準則與照護重點，並且運用專業知識評估替代方法的使用時機，有效的移除導尿管，降低泌尿道感染的發生，減少所需花費的照護人力與費用。在預防上，專業護理人員也必須了解泌尿道感染的症狀、診斷依據與治療原則，藉由護理處置與醫療處置良好的配合，減少因泌尿道感染所造成的病人不適與合併症的發生，達到腦中風病人照顧的最大成效。

Urinary tract infection (UTI) is one of the common complications in patients with cerebrovascular attack. The cause of urinary tract infection is most associated with the placement of the urinary catheter. Therefore, nurses caring for patients with cerebrovascular attack need to understand the anatomical structure of the urinary tract, procedures of using urinary catheter, and care highlights. Moreover, assessment for proper use of urinary catheter and effective removal decrease the occurrence of UTI and reduce the costs of taskforce and care expenses. in prevention of UTI, nurses must understand the symptoms of UTI, diagnostic data, and the principles of treatment. Through sound medical and nursing managements, minimizing patient discomfort and occurrence of complication and maximizing care effectiveness in patients with cerebrovascular attack can be achieved.