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

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。

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

Objective To 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）. Methods 155 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. Results Indwelling urinary catheter-associated UTI in trial group and control group was 4. 26% and 16. 13%, the former was significantly lower than the latter （Х^2 = 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（Х^2 = 8. 27, P〈0. 01 ; ）22 = 5. 13, P〈0. 05）. Conclusion Monitor during preventive process can prevent nosocomial infection effectively.