基于PDCA循环减少导尿管留置时间和CAUTI发生率的效果研究

Effect study on the relationship between the shorteningtime of urethral catheter indwelling and the incidence of CAUTI:Based on PDCA circulation

目的探究基于PDCA循环管理减少导尿管留置时间和导尿管相关尿路感染(CAUTI)发生率的效果。方法回顾性收集2018年3月-12月留置导尿管并采取一般管理的住院患者资料,分析CAUTI发生情况,建立PDCA循环管理小组,2019年3月-12月留置导尿管的患者纳入管理,对比上一年度同期情况,评价PDCA管理效果。结果2019年3月-12月导尿留置管使用天数为12438 d,留置管时间≤10 d的患者比例上升和>20 d的患者比例下降,差异具有统计学意义(P<0.05);CAUTI在泌尿系统感染的占比下降,差异具有统计学意义(P<0.05);全院总体CAUTI平均日感染发病率为1.69%,低于2018年同期水平的3.66%,差异具有统计学意义(P<0.05)。结论PDCA循环管理减少导尿管留置时间,可有效降低CAUTI发生率,值得在临床上进一步推广。

Objective To effect investigate the relationship between the shortening time of urethral catheter indwelling and the incidence of CAUTI,which based on PDCA circulation management.Methods Inpatient data of indwelling catheter and general management were collected from March to December 2018,the occurrence of CAUTI was evaluated.Then PDCA circulation management team was founded to conduct of indwelling catheter patients from March to December 2019,and compare of the same period of the previous year,the effective PDCA management was evaluated.Results From March to December 2019,the number of days of indwelling catheter was 12438,the proportion of patients with indwelling catheter time≤10 days was increasing and the proportion of patients with indwelling catheter time>20 days was decreasing,the difference was statistically significant(P<0.05);The proportion of CAUTI in urinary tract infection decreased,the difference was statistically significant(P<0.05),the average daily hair coloring rate of CAUTI in the hospital was 1.69%,which was lower than 3.66%in the same period in 2018,and the difference was statistically significant(P<0.05).Conclusion PDCA circulation management to shorten the indwelling time of catheter can effectively decrease the incidence of CAUTI,which is worthy of further promotion in clinical practice.