CAJ | 학술논문

目的通过设计《ICU导管相关性血流感染预防控制质量查检单》(简称查检单),指导医护人员在临床实践中进行质量查检,以提高护理质量,保证患者安全.方法 2012年4～6月将查检单应用于ICU的中心静脉置管患者,对患者的导管相关性血流感染(catheter-related blood stream infection, CRBSI)预防控制措施进行每日查检,观察中心静脉导管的使用率及CRBSI的发生率.结果使用查检单干预后较干预前导管使用率下降,CRBSI发生率下降,差异有统计学意义.结论将查检单应用于ICU患者的CRBSI预防控制的质量管理中,有助于降低CRBSI的发生率.
목적 통과설계《ICU도관상관성혈류감염예방공제질량사검단》(간칭사검단),지도의호인원재림상실천중진행질량사검,이제고호리질량,보증환자안전.방법 2012년4～6월장사검단응용우ICU적중심정맥치관환자,대환자적도관상관성혈류감염(catheter-related blood stream infection, CRBSI)예방공제조시진행매일사검,관찰중심정맥도관적사용솔급CRBSI적발생솔.결과 사용사검단간예후교간예전도관사용솔하강,CRBSI발생솔하강,차이유통계학의의.결론 장사검단응용우ICU환자적CRBSI예방공제적질량관리중,유조우강저CRBSI적발생솔.
Objective To design quality improvement checklist of catheter-related blood stream infection (CRBSI),in order to improve the nursing quality of ICU and ensure nursing safety.Methods A new ICU quality improvement checklist of CRBSI was designed and applied for the quality control of the patients with central venous catheter from April to June 2012.The using rate of central venous catheter and incidence of CRBSI were observed.Results After application of the checklists,the using rate of central venous catheter was decreased and the incidence of CRBSI was decreased.Conclusions The checklist may help improve the prevention and control of CRBSI in ICU.