— 基本照護與舒適 · EASY · MCQ —
下列哪項護理措施最能降低導尿管病人的院內感染風險？
Which of the following nursing actions best minimizes the risk of nosocomial infection in a patient with a urinary catheter?
- AMaintain the drainage bag below the level of the bladder✓ 正解保持引流袋低於膀胱水平
- BClean the perineal area every three days每三天清潔會陰區域
- CDisconnect the drainage system to measure output拆開引流系統以測量排出量
- DIrrigate the catheter daily with sterile saline每日以無菌生理食鹽水灌洗導尿管
— Explanation · 中文詳解 —
維持尿袋低於膀胱位置是物理防逆流最有效的方法，防止尿液逆流引入細菌。灌洗導尿管會增加感染風險，非例行護理；會陰清潔應每日執行，而非三天一次；隨意拆解導管系統會導致微生物入侵，增加院內感染風險。護理師應落實這些措施，特別是維持引流系統密閉與重力引流，以顯著降低導尿管相關尿路感染（CAUTI）的發生率。
Maintaining the drainage bag below the level of the bladder uses gravity to prevent urine reflux, which is the most effective way to stop bacteria from entering the urinary tract. Keeping the system closed and ensuring proper drainage flow significantly reduces the risk of catheter-associated urinary tract infections (CAUTI).