CAJ | 학술논문

目的：探讨留置尿管相关性尿路感染目标管理在重症监护患者中的应用效果。方法选择230例留置尿管10 d以上的患者为研究对象，将2012年1-12月108例患者设为对照组，实施传统护理措施；将2013年1-12月目标管理模式下122例患者设为研究组，在对照组护理措施基础上增加目标管理干预措施，比较两组患者留置尿管3，7，10 d后导尿管相关尿路感染的发生率。结果研究组患者留置尿管3 d 尿路感染发生率为4．09％，7 d 为22．95％，10 d 为36．07％，对照组分别为11．11％，51．85％，75．00％，两组比较差异有统计学意义（χ2值分别为10．12，20．44，59．26；P＜0．01）。结论导尿管相关尿路感染目标管理，可以有效降低ICU患者导尿管相关尿路感染的发生率，提高临床护理质量。
목적：탐토류치뇨관상관성뇨로감염목표관리재중증감호환자중적응용효과。방법선택230례류치뇨관10 d이상적환자위연구대상，장2012년1-12월108례환자설위대조조，실시전통호리조시；장2013년1-12월목표관리모식하122례환자설위연구조，재대조조호리조시기출상증가목표관리간예조시，비교량조환자류치뇨관3，7，10 d후도뇨관상관뇨로감염적발생솔。결과연구조환자류치뇨관3 d 뇨로감염발생솔위4．09％，7 d 위22．95％，10 d 위36．07％，대조조분별위11．11％，51．85％，75．00％，량조비교차이유통계학의의（χ2치분별위10．12，20．44，59．26；P＜0．01）。결론도뇨관상관뇨로감염목표관리，가이유효강저ICU환자도뇨관상관뇨로감염적발생솔，제고림상호리질량。
Objective To explore the effect of objective management for indwelling catheter associated urinary tract infection ( CAUTI) in ICU.Methods Patients with urinary catheter in ICU for more than ten days were selected into the study .Totals of 108 ICU patients , as the control group , received routine nursing care during January to December 2012 .And 122 ICU patients , as the objectives management group , received intervention nursing care during January to December 2013 .The CAUTI rate on day three , day seven and day ten of catheter indwelling were compared between two groups .Results The CAUTI infection rate of day three , day seven and day ten in the objectives management group were 4.09%, 22.95%and 36.07%.Those rates in the control group were 11.11%, 51.85% and 75.00%.The differences were statistically significant (χ2 =10.12, 20.44, 59.26, respectively;P<0.01).Conclusions Objective management can reduce the rate of CAUTI and improve the quality of nursing care .