品管圈在降低清洁间歇导尿患者泌尿系感染率中的应用

The application of the quality control circle to reduce urinary infection rate in the patients with clean intermittent catheter

目的 探讨品管圈活动在降低清洁间歇导尿患者泌尿系感染率中的应用效果.方法 选取2014年6月～2015年6月在该院住院治疗的神经源性膀胱患者116例为研究对象,开展品管圈活动前（2014年6～12月）收治的患者60例设为对照组,开展品管圈活动后（2015年1～6月）收治的患者56例设为实验组.成立品管圈,进行现状把握,分析清洁间歇导尿患者发生泌尿系感染的原因,设定目标,拟定并实施相应的对策,最后评价品管圈活动前后清洁间歇导尿患者的泌尿系感染率.结果 对照组泌尿系感染率为33.33％,实验组泌尿系感染率为8.93％,差异有统计学意义（P〈0.05）.结论 品管圈活动能有效降低清洁间歇导尿患者的泌尿系感染率,值得临床推广应用.

Objective To investigate the effect of quality control on the urinary infection rate in the patients with clean intermittent catheter. Methods A total of 116 cases of neurogenic bladder patients who were hospitalized in the hospital from June 2014 to June 2015 were selected as the study subjects. The 60 patients treated before the activity of the product tube circle （from June to December 2014） were set as the control group. 56 patients treated after the ac-tivity of the quality control circle （from January to June 2015） were set up as the experimental group. We set up the quality control circle and hold the status quo. The causes of urinary tract infection in patients with intermittent catheter was ananlyzed and the goal was set up. The corresponding countermeasures was formulated and implemented. Finally, the urinary infection rate of the patients with clean intermittent catheter was evaluated before and after the activity. Re-sults The urinary infection rate of the control group was 33. 33％ . The urinary tract infection rate of the experimental group was 8. 93％, and the difference was statistically significant （ P〈0. 05 ） . Conclusion The activity of the product tube circle can effectively reduce the urinary infection rate of the patients with clean intermittent catheter, and it is wor-thy of clinical application.