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NTIS 바로가기기본간호학회지 = Journal of Korean Academy of Fundamentals of Nursing, v.22 no.2, 2015년, pp.139 - 148
Purpose: This study was done to examine the effects of meatal care with essential oil on meatal E-coli and pH of inpatients in geriatric hospital. Methods: The participants were 40 patients admitted to J geriatric hospital in G city, Korea. Twenty patients were assigned to the experimental group and...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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요로감염이 여성에게 더 호발되는 이유는 무엇인가? | 3%로 남성 환자 32%보다 많은 것으로 조사되어 거동이 불편한 환자와 여성 환자일수록 요로감염의 위험성이 높다. 요로감염은 남성보다는 여성에게서 더 호발 하는데 이는 여성의 경우 남자보다 요로가 짧고 항문과 요도 개구부 사이에 질이 위치하고 있어 대변이나 질의 분비물로부터 세균의 침입이 용이하기 때문이다[6]. 또한 암모니아 분해세균의 존재는 pH 상승의 원인이 되는데 Proteus균은 urea를 분해시키면서 암모니아를 생산하며 그 결과 소변 pH를 증가시킨다[7]. | |
Escherichia coli가 냄새, pH 감소를 위한 외요도구 간호방법이 필요한 이유는 무엇인가? | 5% 순으로[8], E-coli가 높은 비율을 차지하고 있다. 요도구에서의 E-coli는 병원성 세균의 오염가능성을 의미하고[7] 이 병원성 세균은 pH의 증가에 의해 상피세포에 접착하게 되며[9] 이에 따른 감염은 외요도구의 냄새를 더욱 심하게 하므로 외요도구의 E-coli, pH와 냄새를 감소시킬 수 있는 효과적인 외요도구 간호방법에 대한 강구가 필요하다. | |
병원성 요로감염은 어떤 원인균이 차지 하고있는가? | 또한 암모니아 분해세균의 존재는 pH 상승의 원인이 되는데 Proteus균은 urea를 분해시키면서 암모니아를 생산하며 그 결과 소변 pH를 증가시킨다[7]. 병원성 요로감염의 원인균은 Escherichia coli (E-coli) 38.7%, Klebsiella pneumoniae 15.1%, Pseudomonas aeruginosa 6.5% 순으로[8], E-coli가 높은 비율을 차지하고 있다. 요도구에서의 E-coli는 병원성 세균의 오염가능성을 의미하고[7] 이 병원성 세균은 pH의 증가에 의해 상피세포에 접착하게 되며[9] 이에 따른 감염은 외요도구의 냄새를 더욱 심하게 하므로 외요도구의 E-coli, pH와 냄새를 감소시킬 수 있는 효과적인 외요도구 간호방법에 대한 강구가 필요하다. |
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Park YM, Kim YK. Comparison of urinary tract infection in meatal care methods for patients with indwelling catheter. Clinical Nursing Research. 2005;11(1):123-136.
Shin JS, Sohng KY. Effects of meatal care in reduction of catheter-associated urinary tract infection for elderly patients in the ICU. Journal of Korean Academy of Fundamentals of Nursing. 2008;15(4):449-456.
Shin JS. Urinary tract infection in elderly patients with indwelling catheter by the solution used in meatal care [master's thesis]. Seoul: The Catholic University; 2008. p. 1-26.
Centers for Disease Control and Prevention [CDC]. Guidelines for prevention of catheter-associated urinary tract infections [internet]. Atlanta, GA: Healthcare Infection Control Practices Advisory Committee; 2009 [Cited 2013 May 10]. Available from: www.cdc.gov/hicpac/pdf/CAUTI/CAUTIguideline2009final.pdf.
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Yun SH, Yoo YS, Lee JJ, Cha JH. Effects of perineal care with aroma essential oil on the decrease of urinary tract infection in patients with indwelling urinary catheter. Korean Journal of Adult Nursing. 2006;18(2):314-326.
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Suh SR, Seo JY, Chio EH, Park WJ. The effects of aromatherapy on depression, sleep, mood, and smell in stroke patients and their caregivers. Journal of Korean Academy of Community Health Nursing. 2008;19(1):27-35.
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