重症监护患者留置尿管相关性尿路感染目标管理的效果分析

Effect analysis of the objective management for indwelling catheter associated urinary tract infection in ICU patients

目的：探讨留置尿管相关性尿路感染目标管理在重症监护患者中的应用效果。方法选择230例留置尿管10 d以上的患者为研究对象，将2012年1-12月108例患者设为对照组，实施传统护理措施；将2013年1-12月目标管理模式下122例患者设为研究组，在对照组护理措施基础上增加目标管理干预措施，比较两组患者留置尿管3，7，10 d后导尿管相关尿路感染的发生率。结果研究组患者留置尿管3 d 尿路感染发生率为4．09％，7 d 为22．95％，10 d 为36．07％，对照组分别为11．11％，51．85％，75．00％，两组比较差异有统计学意义（χ2值分别为10．12，20．44，59．26；P＜0．01）。结论导尿管相关尿路感染目标管理，可以有效降低ICU患者导尿管相关尿路感染的发生率，提高临床护理质量。

Objective To explore the effect of objective management for indwelling catheter associated urinary tract infection （ CAUTI） in ICU.Methods Patients with urinary catheter in ICU for more than ten days were selected into the study .Totals of 108 ICU patients , as the control group , received routine nursing care during January to December 2012 .And 122 ICU patients , as the objectives management group , received intervention nursing care during January to December 2013 .The CAUTI rate on day three , day seven and day ten of catheter indwelling were compared between two groups .Results The CAUTI infection rate of day three , day seven and day ten in the objectives management group were 4.09%, 22.95%and 36.07%.Those rates in the control group were 11.11%, 51.85% and 75.00%.The differences were statistically significant （χ2 =10.12, 20.44, 59.26, respectively;P〈0.01）.Conclusions Objective management can reduce the rate of CAUTI and improve the quality of nursing care .