持续质量改进减少血液透析患者中心静脉导管感染的效果观察

Effect of Continuous Quality Improvement on Reducing the Central Venous Catheter Infection in Patients with Continuous Hemodialysis

目的:观察运用持续质量改进方法对减少持续性血液透析患者中心静脉导管感染的效果。方法:选取2015年1月至2015年12月32例使用中心静脉导管维持性血透患者,分析感染的各方面影响因素,设计改善导管相关有感染的防治措施。对2016年1月至2016年12月在院的32例导管维持性血透患者实施防治措施并进行持续改进。统计1000导管日内发生的感染例次进行统计学比较。结果:持续质量改进前中心静脉导管发生感染例次为3.81/1000导管日,运用持续质量改进后发生感染例次为2.21/1000导管日,感染率下降42%。结论:持续质量改进对减少中心静脉导管感染的有效。

Objective： Observe the effect of continuous quality improvement method to reduce persistent central venous catheter infection in patients receiving hemodialysis. Methods： Choose 32 patients from January 2015 to December 2015 using central venous catheter maintenance hemodialysis,analyze factors affecting all aspects of infection,design a method to improve the prevention and control measures of catheter-related infection. maintenance hemodialysis implement control measures and continuous improvement were performed to 32 patients from January2016 to December 2016. collect infection cases within 1000 catheter days and statistically compared. Results： The continuous quality improvement of the central venous catheter infection cases of 3. 81/1000 catheter days,the use of continuous quality improvement after the occurrence of infection for 2. 21/1000 catheter days,the infection rate decreased by 42%. Conclusion： Effect of continuous quality improvement on reducing the central venous catheter infection in hemodialysis patients.