预防性过程监控对留置导尿泌尿系感染控制作用的研究    FREE
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范旭畅

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R181.3+2

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Effect of monitor during  preventive process on the control of indwelling urinary catheterassociated urinary tract infection    FREE
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    摘要:

    目的在“过程监控”基础上提出“预防性过程监控”概念及可行的监控方法,实验性应用于留置导尿相关泌尿系感染的控制中,评价监控方法的有效性。方法将某院神经内科2007年1—7月留置导尿的155例患者设为对照组,2007年8月—2008年2月留置导尿的141例患者设为实验组;对照组执行留置导尿常规护理,实验组除进行常规护理外,采用评估督促和宣传教育等方法进行预防性过程监控。结果实验组留置导尿相关泌尿系感染率为4.26%,明显低于对照组的16.13%(χ2=11.10,P<0.01);两组患者留置导尿的时间比较,实验组70%的患者留置导尿时间在13.10 d内,明显低于对照组的18 d;留置导尿11~30 d、>30 d时,实验组导尿相关泌尿系感染率分别为6.67%、16.67%,明显低于对照组的30.77%、57.89%(分别χ2=8.27,P<0.01;χ2=5.13,P<0.05)。结论评估督促和宣传教育等预防性过程监控可有效预防医院感染。

    Abstract:

    ObjectiveTo establish the concept of “monitor during preventive process” as well as  the feasibility of surveillance and control method, and apply the method on the control of indwelling urinary catheterassociated urinary tract infection(UTI). Methods155 inpatients who received indwelling urinary catheter in a neurology department between January and July, 2007 were as control group, 141  inpatients who received indwelling urinary catheter between August, 2007 and February, 2008 were as trial group; Control group received routine nursing for indwelling catheter, trial group received monitor during preventive process (such as evaluation, supervision and education) in addition to routine nursing.ResultsIndwelling urinary catheterassociated UTI in trial group and control group was 4.26% and 16.13%, the former was significantly lower than the latter (χ2=11.10, P<0.01); In trial group, the duration of catheterization in 70% patients was within 13.10 days, which was significantly lower than 18 days in control group; When duration of catheterization were 11-30 days,>30 days, urinary catheterassociated UTI in  trial group was 6.67% and 16.67% respectively, which was obviously lower than 30.77% and 57.89% in control group(χ2=8.27, P<0.01; χ2=5.13, P<0.05).ConclusionMonitor during  preventive process can prevent nosocomial infection effectively.

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范旭畅,齐桂芝,陶西萍,等.预防性过程监控对留置导尿泌尿系感染控制作用的研究    FREE[J]. 中国感染控制杂志,2009,8(6):406-408.
FAN Xuchang, QI Guizhi, TAO Xiping, et al. Effect of monitor during  preventive process on the control of indwelling urinary catheterassociated urinary tract infection    FREE[J]. Chin J Infect Control, 2009,8(6):406-408.

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  • 收稿日期:2009-03-31
  • 最后修改日期:2009-05-26
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  • 在线发布日期: 2009-11-30
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