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中国当代医药  2022, Vol. 29 Issue (29): 192-196    
  护理研究 本期目录 | 过刊浏览 | 高级检索 |
多学科团队协作在降低危重患者导尿管相关尿路感染发生率中的应用效果
陆素英1 张敏1▲ 陈建芬1 殷荣2 吕科云1 狄佳3 江淑芳3
1.江苏省常州市第一人民医院重症医学科,江苏常州 213000;
2.江苏省常州市第一人民医院急诊重症监护室,江苏常州 213000;
3.江苏省常州市第一人民医院感染管理办公室,江苏常州 213000
Application effect of multidisciplinary team cooperation in reducing the incidence of catheter associated urinary tract infection in critically ill patients
LU Suying1 ZHANG Min1▲CHEN Jianfen1 YIN Rong2 LYU Keyun1 DI Jia3 JIANG Shufang3#br#
1.Department of Intensive Care Unit,the First People′s Hospital of Changzhou,Jiangsu Province,Changzhou 213000,China;
2.Emergency Intensive Care Unit,the First People′s Hospital of Changzhou,Jiangsu Province,Changzhou 213000,China;
3.Infection Management Office,the First People′s Hospital of Changzhou,Jiangsu Province,Changzhou 213000,China
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摘要 目的 探讨以多学科团队协作为基础,运用品管圈在降低危重患者导尿管相关尿路感染(CAUTI)发生率中的应用效果。方法 选取2019年1月至12月常州市第一人民医院721例留置导尿的危重患者为对照组,实施常规护理干预;选取2020年10月至2021年9月收治的599例留置导尿的危重患者为干预组,成立多学科团队协作小组实施品管圈管理。比较两组患者的CAUTI发生率,医务人员的手卫生情况。结果 干预组患者的CAUTI发生率为1.26‰,低于对照组的4.22‰,差异有统计学意义(P<0.05)。多学科团队协作小组品管圈管理后医务人员的手卫生执行情况优于管理前,手卫生微生物合格率高于管理前,差异有统计学意义(P<0.05)。结论 以多学科团队协作模式组建的品管圈活动,有效降低了ICU患者CAUTI的发生率,且维持效果较好。
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关键词 多学科协作品管圈导尿管相关尿路感染危重患者    
Abstract
Objective To explore the effect of quality control circle on reducing the incidence of catheter-associated urinary tract infection(CAUTI)in critically ill patients based on multidisciplinary team cooperation.Methods A total of 721 critically ill patients with indwelling catheterization in the First People′s Hospital of Changzhou from January to December 2019 were selected as the control group,and routine nursing intervention was implemented.A total of 599 critically ill patients with indwelling catheterization admitted from October 2020 to September 2021 were selected as the intervention group,and a multidisciplinary team was established to implement quality control circle management.The incidence of CAUTI and hand hygiene of medical staff were compared between the two groups.Results The incidence of CAUTI in the intervention group was 1.26‰,which was lower than 4.22‰ in the control group,and the difference was statistically significant(P<0.05).The implementation of hand hygiene and the qualified rate of hand hygiene microorganisms of medical staff after the management of multidisciplinary team collaboration quality control circle were better than those before the management,and the differences were statistically significant(P<0.05).Conclusion The quality control circle activities established by multidisciplinary team cooperation model can effectively reduce the incidence of CAUTI in ICU patients,and the maintenance effect is good.
Key wordsMultidisciplinary team    Quality control circle    Catheter associated urinary tract infection    Critically ill patients
    
基金资助:江苏省现代医院管理研究中心基金资助项目(JSY-3-2019-098)。
引用本文:   
陆素英;张敏; 陈建芬; 殷荣;吕科云;狄佳; 江淑芳. 多学科团队协作在降低危重患者导尿管相关尿路感染发生率中的应用效果[J]. 中国当代医药, 2022, 29(29): 192-196.
LU Suying1 ZHANG Min1▲CHEN Jianfen1 YIN Rong2 LYU Keyun1 DI Jia3 JIANG Shufang3. Application effect of multidisciplinary team cooperation in reducing the incidence of catheter associated urinary tract infection in critically ill patients. 中国当代医药, 2022, 29(29): 192-196.
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