题名

降低呼吸照護病房泌尿道感染密度

并列篇名

Reduction of the Urinary Tract Infection Density in the Respiratory Care Ward

DOI

10.6530/YYN/2017.3.2

作者

盧月惠(Yueh-Hui Lu)；蕭鵬卿(Hsiao-Ching Tseng)；曾曉菁(Peng-Ching Hsiao)；張煦婕(Hsu-Chieh Chang)

关键词

泌尿道感染密度 ； urinary tract infection

期刊名称

源遠護理

卷期/出版年月

11卷3期（2017 / 11 / 01）

页次

56 - 64

内容语文

繁體中文
中文摘要

在長期照護過程中泌尿道感染是常見的院內感染，每次的泌尿道感染不但會引發全身性感染、延長住院天數及徒增醫療成本花費。單位2013年3月泌尿道感染密度突然驟增至5.21‰，且導致本單位使用抗生素的成本上升，本專案目的為降低單位泌尿道感染密度，經分析發現護理師及照服員照護正確率低、缺乏移除尿管評估標準、缺少泌尿道照護之教育、缺乏稽核制度、缺乏提示標示及尿袋缺乏良好固定方式。專案小組制定解決方案包括舉辦在職教育、建立稽核制度、制定移除尿管查核表、製作提醒標示和設計尿袋固定架。專案進行措施後，單位泌尿道感染密度由5.21‰（2013年3月）降為3.56‰（2013年8月~12月），成效持續維持2.64‰（2014年1月~3月），藉由本專案不僅增加護理師及照服員的照護技能及團隊合作精神，亦為病人護理照護品質之提升。
英文摘要

Urinary tract infection (UTI) is the leading cause of nosocomial infections. A lack of prompt control results in systemic infection, prolonged hospital stays, and increased health care costs. UTI density in our respiratory care ward increased up to 5.21 per mille in March 2013. This project was implemented to reduce UTI density in our ward. Based on our analysis, we identified the following key factors that corelated with high UTI density: percentage of correct care by nurses and attendants, lack of evaluation criteria regarding urinary catheter removal, lack of education about urinary tract care, lack of audit system, lack of tags and good fixation for urinary bags. We proposed solutions which include organizing in-service education, establishing an audit system, setting up a checklist regarding urinary catheter removal, designing of tags and holders for urinary bags. After implementing our solutions, the UTI density decreased from 5.21 per mille in March 2013 to 3.56 per mille in August-December 2013, and persisted at 2.64‰ from January to March 2014. Based on the present case, it can be considered that lowering UTI density can not only increase the level of professional care delivered by nurses and attendants and their teamwork, but also can enhance quality of patient care.
主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
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