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題名:復健病房腦中風病人泌尿道感染之危險因子
書刊名:醫學與健康期刊
作者:林志彥翁珮瑄柯蘋芯許振榮王慧珺余書蓉
作者(外文):Lin, Zhih-yenWeng, Pei-hsuanKo, Ping HsinHsu, Chen-jungWang, Huey-jiunnYu, Shu-jung
出版日期:2013
卷期:2:1
頁次:頁39-47
主題關鍵詞:泌尿道感染腦中風復健病房危險因子Urinary tract infectionStrokeRehabilitation wardRisk factor
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:10
  • 點閱點閱:17
目的:本研究探討腦中風病人於復健病房之泌尿道感染相關危險因子。方法:病例回溯2011年3月至2012年3月間,於復健病房住院期間接受腦中風復健治療的病人,共收案136位,調查泌尿道感染之發生率及可能危險因子。結果:腦中風病人在復健病房住院期間之泌尿道感染發生率為15.4%。年齡愈大(OR=1.07,95%CI=1.02-1.12,p=0.007)、置放導尿管(OR=4.99,95%CI=1.17-21.37,p=0.030)、巴氏量表分數愈低(OR=0.97,95%CI=0.94-0.99,p=0.031)為泌尿道感染之危險因子。結論:年齡愈大,置放導尿管,巴氏量表分數愈低會顯著增加泌尿道感染風險。早期評估及處理排尿障礙以減少置放導尿官之機率,早期接受腦中風復健治療以增進日常生活自理能力,以期減少復健病房腦中風病人之泌尿道感染。
Objectives. The purpose of this study was to investigate the risk factors of urinary tract infection in stroke patients in rehabilitation wards.Methods. The medical records of 136 patients receiving rehabilitation therapies from March 2011 to March 2012 were retrospectively reviewed. We collected data on the frequency of urinary tract infection and identified possible risk factors.Results. The frequency of urinary tract infection in rehabilitation wards was 15.4%. The independent risk factors were age (OR=1.07, 95% CI=1.02-1.12, p=O.007), Foley catheter use (OR=4.99, 95% CI=1.17-21.37, p=0.030), and the Barthel index (OR=O.97, 95% CI=0.94-0.99, p=0.031).Conclusion. Old age, Foley catheter use, and low Barthel index scores significantly increased the risk of urinary tract infection. Early evaluation and treatment of urinary dysfunction, the elimination of Foley catheter use, and early physical rehabilitation for better daily living activities can help reduce the frequency of urinary tract infection in stroke patients in rehabilitation wards.
期刊論文
1.Langhorne, P.、Stott, D. J.、Robertson, L.、MacDonald, J.、Jones, L.、McAlpine, C.(2000)。Medical complications after stroke: A multicenter study。Stroke,31(6),1223-1229。  new window
2.Murray, C. J.、Lopez, A. D.(1997)。Mortality by cause for eight regions of the world: Global Burden of Disease Study。The Lancet,349(9061),1269-1276。  new window
3.Maki, D. G.、Tambyah, P. A.(2001)。Engineering out the risk for infection with urinary catheters。Emerg Infect Dis,7,342-347。  new window
4.廖建彰、李采娟、林瑞雄、宋鴻樟(2000)。年台灣腦中風發生率與盛行率的城鄉差異。臺灣公共衛生雜誌,25,223-230。new window  延伸查詢new window
5.Rocco, A.、Pasquini, M.、Cecconi, E.(2007)。Monitoring after the acute stage of stroke: a prospective study。Stroke,38,1225-1228。  new window
6.Stott, D. J.、Falconer, A.、Miller, H.、Tilston, J. C.、Langhorne, P.(2009)。Urinary tract infection after stroke。QJM,102,243-249。  new window
7.Poisson, S. N.、Johnston, S. C.、Josephson, S. A.(2010)。Urinary Tract Infections Complicating Stroke: Mechanisms, Consequences, and Possible Solutions。Stroke,41,80-84。  new window
8.Ersoz, M.、Ulusoy, H.、Oktar, M. A.、Akyuz, M.(2007)。AUrinary Tract Infection and Bacteriurua in Stroke Patients。Am J Phys Med Rehabil,86,734-741。  new window
9.Chen, C. M.、Hsu, H. C.、Tsai, W. S.、Chang, C. H.、Chen, K. H.、Hong, C. Z.(2012)。Infections in Acute Older Stroke Inpatients Undergoing Rehabilitation。Am J Phys Med Rehabil,91,211-219。  new window
10.Vargas, M.、Horcajada, J. P.、Obach, V.(2006)。Clinical consequences of infection in patients with acute stroke: is it prime time for further antibiotic trials?。Stroke,37,461-465。  new window
11.Horan, T. C.、Andrus, M.、Dudeck, M. A.(2008)。CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting。Am J Infect Control,36,309-332。  new window
12.McLean, D. E.(2004)。Medical complications experienced by a cohort of stroke survivors during inpatient, tertiary-level stroke rehabilitation。Arch Phys Med Rehabil,85,466-469。  new window
13.Trautner, B. W.、Darouiche, R. O.(2004)。Role of biofilm in catheterassociated urinary tract infection。Am J Infect Control,32,177-183。  new window
14.Suiter, G.、Elting, J. W.、Maurits, N.、Luijckx, G. J.、De, Keyser J.(2004)。Acetylsalicylic acid and acetaminophen to combat elevated body temperature in acute ischemic stroke。Cerebrovasc Dis,17,118-122.。  new window
15.Gokula, R. M.、Smith, M. A.、Hickner, J.(2007)。Emergency room staff education and use of a urinary catheter indication sheet improves appropriate use of Foley catheters。Am J Infect Control,35(9),589-593。  new window
16.Aslanyan, S.、Weir, C. J.、Diener, H. C.、Kaste, M.、Lees, K. R.(2004)。GAIN International Steering Committee and Investigators.。Eur J Neurol,11,49-53。  new window
其他
1.行政院衛生署(20120607)。民國100年主要死因分析,http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_list_no= 12336&class-no=440&level_no=4, 2012/08/05。  new window
圖書論文
1.Bnmnstrom, S.(1970)。Recovery stages and evaluation procedures。Movement Therapy in Hemiplegia: A Neurophysiological Approach。New York:Harper &Row。  new window
 
 
 
 
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