ICU持续护理质量改进防止导管相关性血流感染防护措施的实施 .pdf

ICU持续护理质量改进防止导管相关性血流感染防护措施的实施

目的探讨持续护理质量改进预防ICU导管相关性血流感染防护措施的实

施及效果。方法我院自2015年10月～2016年9月在ICU內开展持续护理质

量改进活动，强化护理人员对ICU导管相关性血流感染的防护意识与执行力，

建立健全ICU护理质量标准，不定期考核、评价，并在护理改进活动结束后，

与2014年10月～2015年9月间未进行持续护理质量改进活动进行对比，主要

对比活动前后导管相关性血流感染率、置管时间、以及护理人员综合素质水平。

结果在预防CLABSI相关知识的知晓率与预防行为执行率上，活动后达标率明

显提升；在置管时间与住院时间上，活动后较活动前有明显缩短；在CLABSI

发生率上，由活动前的20%下降至2.5%，前后数据差异显著（P＜0.05）。结论

重视持续护理质量改进，积极落实并强化导管相关性血流感染的防护措施，可有

效降低ICU导管感染的发生率，值得在临床推广。

[Abstract]ObjectiveToexploretheimplementingmeasuresandeffectofICU

continuousqualityimprovementinnursingcaretopreventcatheterrelated

bloodstreaminfections.MethodsInourhospitalfromOctober2015toSeptember

2016continuousnursingqualityimprovementactivitiesinICUwerecarryedout，the

awarenessofprotectionandexecutionofICUcatheterrelatedbloodstreaminfectionof

nursingstaffwerestrengthened，theICUnursingqualitystandard，regular

examinationandevaluationwereestablishedandimproved.Attheendofthenursing

improvementactivity，thequalityimprovementactivitieswerecomparedbetween

October2014andSeptember2015withoutcontinuouscarequalityimprovement

activities，thecatheterrelatedbloodstreaminfectionrate，catheterizationtime，and

thecomprehensivequalityofnursingstaffwerecomparedbeforeandafterthe

operation.ResultsInthepreventionofawarenessrateofCLABSIrelatedknowledge

andtheimplementationrateofpreventiveaction，thestandardrateofactivities

significantlyimproved.Thecathetertimeandthelengthofstayweresignificantly

shorteraftertheactivitythanthosebeforetheactivity.TheincidenceofCLABSI

decreasedfrom20%beforetheactivityto2.5%，andthedifferencebetweenthedata

beforeandaftertheactivitywassignificant，P＜0.05.ConclusionPayingattentionto

thequalityimprovementofcontinuousnursing，