综合安全项目协同行动策略在老年患者导尿管相关尿路感染防控中的应用及其效果

Application of comprehensive unit-based safety program collaborative action strategy in preventing catheter-associated urinary tract infection among elderly patients and its effect

    摘要
  • 摘要:
    目的 探讨综合安全项目(CUSP)协同行动策略对降低老年患者导尿管相关尿路感染(CAUTI)率的效果。
    方法 2024年6-11月解放军总医院第七医学中心开始应用CUSP协同行动策略干预方案。比较干预前(2023年12月-2024年5月)、干预后(2024年6-11月)护士CAUTI预防知信行得分、老年CAUTI预防重点护理措施落实率和老年患者CAUTI发生率。
    结果 干预前老年医学科护士CAUTI预防知信行得分为(83.44±6.67)分低于干预后(108.19±16.27)分(P＜0.001)；老年预防CAUTI 10项重点护理措施落实率提升(P＜0.05)；干预前共5 546导管日CAUTI发生率为2.88‰(16/5 546), 干预后共5 496导管日CAUTI发生率为0.73‰(4/5 496)(P=0.008)。
    结论 采用CUSP协同行动策略有助于提高老年医学科护士CAUTI预防知信行水平、提升老年CAUTI预防重点护理措施落实率, 降低老年患者CAUTI发生率。

     

    Abstract:
    OBJECTIVE To explore the effect of the comprehensive unit-based safety program (CUSP) collaborative action strategy on reducing the incidence of catheter-associated urinary tract infection (CAUTI) in elderly patients.
    METHODS From Jun. to Nov. 2024, the Seventh Medical Center of the PLA General Hospital implemented the CUSP collaborative action strategy for intervention. Comparisons were made between pre-intervention (from Dec. 2023 to May 2024) and post-intervention (from Jun. to Nov. 2024) regarding nurses′ knowledge-attitude-practice (KAP) scores on CAUTI prevention, implementation rates of key nursing measures for elderly CAUTI prevention and CAUTI incidence rates among elderly patients.
    RESULTS The pre-intervention KAP score of nurses from geriatric department on CAUTI prevention was (83.44±6.67), significantly lower than the post-intervention score (108.19±16.27) (P < 0.001). The implementation rates of 10 key nursing measures for elderly CAUTI prevention improved (P < 0.05).The incidence rate of CAUTI was 2.88‰ (16/5 546) among 5 546 catheter days before the intervention, and the incidence rate of CAUTI was 0.73‰ (4/5 496) among 5 496 catheter days after the intervention (P=0.008).
    CONCLUSIONS The CUSP collaborative action strategy effectively enhances the KAP levels of nurses from geriatric department on CAUTI prevention, improves the implementation rates of key nursing measures, and reduces CAUTI incidence rates among elderly patients.

     

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