CAJ | 학술논문

目的：探讨6 Sigma管理方法对降低脑梗死后留置导尿患者感染风险的意义。方法选择到我院就诊的98例脑梗死合并尿潴留患者，分为对照组及观察组，分别有47、51例。对照组患者采用常规护理方式进行护理，观察组在此基础上采用6 Sigma管理方法进行护理。对护理后APACHE Ⅱ评分、感染情况、感染时间、导尿管留置时间进行评估。结果置管后5、7 d观察组置管后APACHE Ⅱ评分较对照组均显著性下降（P＜0．05）。观察组中段尿、尿道口、接口处感染情况较对照组均有显著性下降（χ2＝4．653、3．765、5．129，P＜0．05）。观察组感染时间较对照组显著性缩短（P＜0．05），导尿管留置时间较对照组有显著性差异（P＜0．05）。结论6 Sigma管理方法可降低脑梗死后留置导尿患者感染的发生率并缩短拔管时间。
목적：탐토6 Sigma관리방법대강저뇌경사후류치도뇨환자감염풍험적의의。방법선택도아원취진적98례뇌경사합병뇨저류환자，분위대조조급관찰조，분별유47、51례。대조조환자채용상규호리방식진행호리，관찰조재차기출상채용6 Sigma관리방법진행호리。대호리후APACHE Ⅱ평분、감염정황、감염시간、도뇨관류치시간진행평고。결과치관후5、7 d관찰조치관후APACHE Ⅱ평분교대조조균현저성하강（P＜0．05）。관찰조중단뇨、뇨도구、접구처감염정황교대조조균유현저성하강（χ2＝4．653、3．765、5．129，P＜0．05）。관찰조감염시간교대조조현저성축단（P＜0．05），도뇨관류치시간교대조조유현저성차이（P＜0．05）。결론6 Sigma관리방법가강저뇌경사후류치도뇨환자감염적발생솔병축단발관시간。
Objective To evaluate significance of 6 Sigma management methods to reduce post-catheterization risk of infection in patients with cerebral infarction .Methods 98 cases of urinary retention patients with cerebral infarction were divided into observation group and control group ,there were 47 and 51 cases respectively .The con-trol group were treated with routine care ,observation group accepted 6 Sigma management methods .APACHE Ⅱscore after care ,infection ,infection time ,catheterization time were evaluated .Results After 5 d ,7 d APACHEⅡ score of observation group than the control group significantly decreased (P<0 .05) .Urine ,urethra ,interface infection of observation group than the control group significantly decreased (χ2 =4 .653 ,3 .765 ,5 .129 , P<0 .05) . Observation group significantly shorten the time of infection compared with the control group (P<0 .05) ,compared with the control catheter indwelling time showed significant difference ( P<0 .05 ) groups .Conclusion 6 Sigma management approach can reduce incidence of infection and shorten time to extubation in patients with cerebral in-farction .