CAJ | 학술논문

目的：探讨目标性监测对改进留置导尿管维护质量的作用。方法通过实施留置导尿管维护质量目标性监测，比较开展前后留置导尿管维护环节质量合格率和同期导尿管相关性尿路感染（ catheter associated urinary tract infection，CAUTI）率，评价目标性监测对质量改进的效果。结果实施目标性监测2年来留置导尿管维护环节质量合格率显著提高，同期CAUTI感染率从7．55‰下降至4．61‰，且两者呈负相关（ r＝－0．998，P＜0．05）。结论目标性监测能明显改进留置导尿管维护质量。
목적：탐토목표성감측대개진류치도뇨관유호질량적작용。방법통과실시류치도뇨관유호질량목표성감측，비교개전전후류치도뇨관유호배절질량합격솔화동기도뇨관상관성뇨로감염（ catheter associated urinary tract infection，CAUTI）솔，평개목표성감측대질량개진적효과。결과실시목표성감측2년래류치도뇨관유호배절질량합격솔현저제고，동기CAUTI감염솔종7．55‰하강지4．61‰，차량자정부상관（ r＝－0．998，P＜0．05）。결론목표성감측능명현개진류치도뇨관유호질량。
Objective To learn about the effect of the targeted surveillance on improving the maintenance procedures quality of indwelling urinary catheter.Methods The targeted surveillance in the maintenance procedures of indwelling urinary catheter was carried out by means of the prospective study, and to compare with the quality conformity rates of the maintenance procedures and the incidence rate of CAUTI before & after interventions.The quality improvement by the targeted surveillance was evaluated.Results Within 2 years, the 8 maintenance procedures quality conformity rates were increased and the incidence rate of CAUTI declined from 7.55‰to 4.61‰, both were negatively related and the differences were statistically significant (r=-0.998, P<0.05).Conclusion The maintenance procedures quality of indwelling urinary catheter was improved significantly by the targeted surveillance.