摘要
目的 探析控制重症患者导尿管相关泌尿系感染中采取品管圈干预的效果。方法 回顾性分析某医院2022年1月至2022年3月收治的行导尿管护理的患者53例未实施品管圈干预，另在2022年4月至2022年9月收治的行导尿管护理的患者110例采取品管圈干预，对比效果。结果 实施后护理能力评分、知识掌握评分、护理质量评分均高于实施前(P<0.05)；实施前后尿路感染发生率分别为14.58‰、1.29‰(P＜0.05)。结论 品管圈活动可以有效降低导尿管相关泌尿系感染，提升护理人员能力以及护理质量。
关键词： 品管圈；护理质量；导尿管；护理能力；泌尿系感染；知识掌握评分
Abstract
Objective To explore the effect of quality control circle intervention in controlling urinary tract infection associated with urinary catheters in critically ill patients. Methods A retrospective analysis was conducted on 53 patients who received catheterization care from a hospital from January 2022 to March 2022 who did not receive quality control circle intervention, and 110 patients who received catheterization care from April 2022 to September 2022 who received quality control circle intervention. The results were compared. Results The scores of nursing ability, knowledge mastery, and nursing quality after implementation were higher than those before implementation (P<0.05); The incidence of urinary tract infection before and after implementation was 14.58 ‰ and 1.29 ‰, respectively (P<0.05). Conclusion Quality control circle activities can effectively reduce urinary tract infections associated with urinary catheters, improve the ability of nursing staff, and improve nursing quality.
Key words： Quality control circle; Quality of care; catheter; Nursing ability; Urinary system infection; Knowledge Mastery Score
参考文献 References
[1] 景绍秀,王晓燕,唐艳. 品管圈活动降低血液净化中心导管相关血流感染率效果观察[J]. 齐鲁护理杂志,2020, 26(16): 131-133.
[2] 黄维芬,郭海萍,陈海珠,等. 品管圈对胸外科患者导管留置期间意外拔管感染的影响分析[J]. 中华医院感染学杂志,2018,28(3):459-462.
[3] 张瑞芳,李婷,杜杰,等. 第三方核查机制在预防新生儿PICC导管相关性感染中的效果评价[J]. 护士进修杂志,2022,37(9):834-838.
[4] 高骁隽,李灿. 长期透析患者导管相关性血流感染并发上消化道出血致感染性休克1例报告及文献复习[J]. 吉林大学学报（医学版）,2022,48(2):487-492.
[5] 徐静. 品管圈护理模式运用于心胸外科PICC置管术中对降低感染及提升护理质量的影响[J]. 国际护理学杂志,2019,38(14):2229-2232.
[6] 申玉洁,李禄全,张先红,等. 多学科联合质量改进项目在早产儿中心静脉导管相关性血流感染中的促进作用[J]. 解放军护理杂志,2022,39(4):85-88.
[7] 楚鑫,蒋运兰,程冬梅,等. 品管圈干预国内对肿瘤患者经外周置入中心静脉导管并发症的Meta分析[J]. 实用医院临床杂志,2018,15(5):29-32.
[8] 王乐瑶,任漪,高翔羽. 新生儿中心静脉导管相关血流感染与导管留置时间的关系[J]. 中华危重病急救医学,2022,34(3):320-324.
[9] 刘亚敏,赵培翔,王宇飞,等. 透析导管相关血流感染的危险因素及风险预测模型[J]. 中华肾脏病杂志,2022, 38(1): 23-28.
[10] 吕倩,赖晓全,魏诗晴,等. 应用精细化防控措施降低中心静脉导管相关血流感染发病率[J]. 中国感染控制杂志,2022,21(4):363-367.