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目的医院尝试构建新的导尿管相关性尿路感染(CAUTI)目标性监测策略,指导护理干预。方法选取改进前,2015年2-12月吉林市北华大学附属医院使用导尿管插管者2469例,另选取改进后,2016年2-12月医院使用导尿管插管者2 112例为研究对象。组建了CAUTI管理控制小组,制订了新的检测目标,主要从适应证控制、操作与维护、尿标本采集、拔除流程等方面管理。观察改进前后临床效果。结果改进后,尿管留置率、CAUTI发生率、CAUTI日发生率、膀胱冲洗率、尿标本正确匹配率、尿标本采集正确率、导尿更换率、引流袋更换率、尿管故障发生率均优于改进前,差异有统计学意义(P<0.05)。结论进行CAUTI目标性监测管理,是开展持续质量改进的重要依据,新的检测目标系统的建立,取得较好的效果。
Objective The hospital attempts to establish a new catheter-related urinary tract infection (CAUTI) target monitoring strategy to guide the nursing intervention. Before the improvement of the method selection, from January to December 2015, 2,469 cases of catheterization in the Affiliated Hospital of Beihua University, Jilin City were recruited. After the improvement was selected, 2112 cases of catheterization in the hospital from January to December in 2016 were retrospectively analyzed. As research object The CAUTI Management Control Team has been set up and new test objectives have been formulated, which are mainly managed from indications control, operation and maintenance, urine sample collection and removal procedures. Observed before and after improvement of clinical results. The results improved, catheter catheterization rate, CAUTI incidence, the incidence of CAUTI, bladder flushing rate, correct matching of urine specimens, urine collection accuracy, catheterization replacement rate, drainage bag replacement rate, catheter failure rate Before improvement, the difference was statistically significant (P <0.05). Conclusion The CAUTI targeted monitoring and management is an important basis for continuous quality improvement. The establishment of a new testing target system has achieved good results.