摘要
目的规范留置导尿管及其护理过程，降低留置导尿管患者的感染率。方法将73例留置导尿患者按住院号单、双分为对照组（38例）和实验组（35例），对照组按无菌操作原则置尿管，置管后以常规方法进行护理；实验组应用六西格玛改进模式及失效模式测量、分析留置导尿管感染主要原因，改进置管及置管后护理操作流程。在留置导尿的3，5，7，14d对2组进行细菌采样记录。结果实验组第5、7天尿道口有菌率明显低于对照组（P〈0．05）；2组中段尿、尿袋接口处有菌率比较，差异无统计学意义（均P〉0．05）。结论应用六西格玛方法系统分析的留置导尿管感染原因准确，采取的控制感染措施有效，能有效降低留置导尿管感染风险，对降低留置导尿管感染率有效可行。
Objective To optimize the catheterization procedures and reduce the rate of infection in patients with indwelling urethral catheter. Methods 73 patients with indwelling urethral catheter were randomly divided into control group （38 cases） and test group （35 cases）. Aseptic technique and routine treatment methods were adopted in the control group. While in test group we used six sigma model to measure and analyze the reasons of infection and optimize the technique and nursing operation during and after catheterization.Samples were got for bacteria test after 3,5,7,14 days of catheterization. Results Significant difference existed in the rate of bacteria growth in urethral orifice between the two groups but not in the middle of the catheter or at the conjunction with the urine bag. Conclusion We can accurately analyze the cause of urethral catheterization infection by the application of six sigma model and can reduce the infection rate effectively with counteracting measures.
出处
《中国实用护理杂志》
2008年第1期4-6,共3页
Chinese Journal of Practical Nursing
基金
上海市卫生局科研基金资助项目（044026）
关键词
六西格玛
留置导尿
感染率
Six sigma model
Indwelling urethral catheterization
Rate of infection
