主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2018, Vol. 18 ›› Issue (7): 948-952.doi: 10.3969/j.issn.1672-1756.2018.07.019

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重症监护病房导尿管相关性泌尿系统感染集束化干预策略的效果研究

赵会杰 王力红 张京利 马文晖 赵霞 韩叙   

  1. 首都医科大学宣武医院医院感染管理处,100053 北京市
  • 出版日期:2019-01-07 发布日期:2019-01-07
  • 基金资助:
    首都医科大学校长研究基金(16GLY15)

The effects of bundle intervention strategies to patients with Catheter-Associated Urinary Tract Infection

  • Online:2019-01-07 Published:2019-01-07

摘要: 目的:评价运用多准则决策分析法构建集束化干预策略对导尿管相关性泌尿系统感染(Catheter-Associated Urinary Tract Infection,CAUTI)的预防效果。方法:将2016年7-12月1 955例留置导尿管ICU住院患者作为对照组,进行回顾性分析,将2017年7-12月1 922例留置导尿管ICU住院患者作为干预组,运用多准则决策分析法构建集束化干预策略并在临床实施,随机抽查60例干预组留置导尿管患者干预策略执行依从性,比较干预前后CAUTI感染发生率。结果:干预组实施集束化干预策略的执行率>95%(除护士采用评估单提醒医生每日评估留置导尿管的必要性),对照组与干预组CAUTI千日感染率分别为3.32例/1 000导管日和1.48例/1 000导管日,差异有统计学意义(P<0.05)。结论:重症监护病房实施集束化干预策略预防CAUTI能够有效减少病原菌的侵入,降低CAUTI感染发生率。

关键词: 重症监护病房;导尿管相关性泌尿系统感染;多准则决策分析法;集束化干预策略

Abstract: Objective: To explore the effects of bundle intervention strategies to patients with Catheter-Associated Urinary Tract Infection (CAUTI). Methods: Retrospectively analysis method was applied. A Multi-Criteria Decision Analysis method was performed to set up the cluster intervention strategy. The compliance rate of the bundle intervention strategy of 60 patients with CAUTI was analyzed before and after intervention. Results: The infection rates of the control group and intervention group were 3.32/1,000 catheter days and 1.48/1 000 catheter days respectively, the difference between the two groups was statistically significant (P<0.05). The compliance rate of bundle intervention strategy of the intervention group was >95%. Conclusion: Bundle intervention strategy can be performed in ICU to reduce the incidence of CAUTI.

Key words: Intensive Care Unit (ICU); Catheter-Associated Urinary Tract Infection (CAUTI); multi-criteria decision analysis; bundle intervention strategy