开展品管圈活动降低居家自我间歇导尿患者尿路感染率

Reducing urinary tract infections in patients performing intermittent self-catheterization at home by quality circle

目的探讨品管圈活动对降低居家自我间歇导尿患者尿路感染发生率的作用。方法按住院时间将脊髓损伤出院行自我间歇导尿患者分为对照组(54例)和观察组(62例),对照组按常规对间歇导尿患者进行健康教育,观察组采用品管圈活动模式管理居家自我间歇导尿患者,即设立品管圈活动小组,进行现状调查分析尿路感染原因,设立目标,制定相应对策并实施。结果出院后3个月内对照组发生尿路感染14例(25.93%),观察组发生尿路感染5例(8.06%),两组比较,差异有统计学意义(P<0.01)。结论品管圈活动的开展可降低居家自我间歇导尿患者尿路感染的发生率,提高其生活质量。

Objective To explore the role of quality circle on reduction of urinary tract infection （UTI） in patients performing inter- mittent self-catheterization （ISC） at home. Methods Totally, 116 patients with spinal cord injury were divided into a control group （54 cases）, and an observation group （62 cases） according to their admission dates. The control group were routinely given health education about ISC. For comparison, a set of quality circle activities were carried out for the observation group：a team was estab- lished to take control of the activities; the team ran surveys and analyzed the causes of UTI; they set goals, formulated appropriate measures and implemented them. Results The incidence rate of UTI in the observation group （5 cases, 8.06%） were lower than that in the control group （14 cases, 25.93 %） 3 months after discharge, with significant difference between the 2 groups （P〈0.01）. Conclusion The quality circle activities can reduce the incidence rate of UTI in patients performing ISC at home, and improve their quality of life.