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呼吸照護中心病患泌尿道感染之改善策略

The Improvement Plan to Protects Patients of the Respiratory Care Center from Getting Urinary Tract Infection

摘要


本改善方案目的是,為了改善呼吸照護中心病人泌尿道之感染率增進單位照護品質降低成本支出,根據研究顯示,台灣地區近十年來,泌尿道感染幾乎佔院內感染的首位。而且泌尿道感染的成因與導尿管放置有其相關性,其中約有80%與導尿管有關。然而筆者發現單位泌尿道感染平均發生率為9.3‰,在2月時卻增至13.2‰,因此成立了專案小組,旨在呼吸照護中心病人泌尿道感染。在經小組分析問題為:(1)本單位無依病房特性特別訂定之留置導尿管護理準則(2)護理人員執行導尿技術未依標準(3)病患尿管留置過長。解決辦法:(1)依病房特性,制定本單位留置導尿管護理標準(2)統一留置導尿管技術之標準(3)設計早期拔除尿管之標準(4)教育宣導並交班執行(5)確實查核措施。而結果顯示11月感染率為5.1‰,有達成目標,但在留置尿管清潔度完成率、縮短尿管留置人數比率之預設目標仍然未達標準,倘若能持續的監測與追蹤、修改,相信在未來會有不錯的成果,也期能將此專案,作為其他單位這方面的借鏡,以提昇更優質的服務品質。

並列摘要


This goal of improvement plan is in order to protects patients of the respiratory care center from getting urinary tract infection and promote the quality of nursing care, reduce the cost of disbursement, according to studies the demonstration, the decade in Taiwan area, urinary tract infection almost occupies the first place which in the courtyard infects (Jan, Guo, HUANG and so on, 2,000). UTI with Foley catheter insertion has relevance 80% .We found the incidence rate of UTI is around 9.3% but increase up to 132% in February, However the author discovered the unit secretes the urethra to infect the average formation rate is 9.3%, when February actually increases to 13.2%, therefore; we established the special case group for the UTI study of RCC patient. After passing through the group to analyze those questions is: (1) this unit not followed by the hospital ward characteristic specially to subscribe decides protocol of management of Foley catheter insertion (2) the nursing staff to carry out the catheterization technology not follow standard (3) Foley catheter left inside of patient over time. Solution: (1) according to the hospital ward characteristic, formulates this standard f of nursing care for leaving alone the catheterization tube (2) to unify the standard or technology of leavening alone the ureter (3) to design standard of the early wiping out Foley (4) to educate, guide and pass on the next shift for the execution (5) truly to check the measure. The result demonstration of the infection percentage was 5.1 in November, has achieves the goal, but the rate of clear fineness for Foley, reduces the ratio of patient with foley left inside, not to still reach the standard in advance, if could continue the monitor and tracing, the revision, we strongly believe it would be able to have the good achievement in the future, also wish this special case refer to other unit this to promote the higher quality service quality.

被引用紀錄


林燕堂(2007)。台灣長期呼吸器依賴病患IDS整合性照護計畫下呼吸照護病房(RCW)照護結果之分析-以中部地區七間醫院為例〔碩士論文,長榮大學〕。華藝線上圖書館。https://doi.org/10.6833/CJCU.2007.00091

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