運用組合式存留導尿管照護提升加護病房護理人員執行正確率

本專案為運用組合式存存留導尿管照護提升加護病房護理人員執行正確率方案，經查執行正確率低之主要原因為：（一）對存留導尿管照護的認知不正確；（二）執行存留導尿管護理技術不正確。藉由修訂「組合式存留導尿管照護查檢表」、舉辦導尿管護理技術之在職教育、於導尿管留置第5天於主治醫師查房時，口頭提醒醫師是否拔除導尿管、舉辦護理人員置入導尿管及留取導尿管檢體技術考、舉辦組合式存留導尿管照護之在職教育。護理人員執行存留導尿管照護認知總正確率由68.40%提升至98.80%，執行存留導尿管護理技術總正確率由75.33%提升至98.57%；均達目標值90%以上。此外，存留導尿管相關尿路感染率已從2010年3.38%降低至2011年1.23%，達目標值2.19%以下。本篇專案期能提供臨床提升存留導尿管照護品質之參考。

關鍵字

組合式照護；存留導尿管照護；護理人員

並列摘要

This project improves the rate of appropriate implementation of indwelling foley catheter care by nursing stuff, by way of deploying a bundled indwelling foley catheter care. It shows that: Poor rate of appropriate implementation for indwelling foley catheter care by nursing staff in an intensive care unit results from: 1. Incorrect cognition of care with indwelling foley catheters; 2. Incorrect nursing technique for managing indwelling foley catheters. By ways of revising the ”Bundled Indwelling Foley Catheter Intervention Checklist”; reminding visiting staff to evaluate catheter removal on the 5th day of catheter insertion; auditing foley catheter insertion and culture sampling technique by nursing staff; holding an on- the- job educational program about care with bundled indwelling foley catheter for, it led to a rate rising from 68.40% to 98.80 % for correct cognition of care with indwelling foley catheters, and arte rising from 75.33% to 98.57% for correct nursing technique for managing indwelling foley catheters. Both exceeding our goal of above 90%. Besides, the yearly rate of CA-UTI dropped from per mille 3.38 in 2010 to per mille 1.23 in 2011, reaching our goal of below per mille 2.19. We hope this article provides a valuable reference for clinical indwelling foley catheter care.

並列關鍵字

bundled care ； indwelling foley catheter care ； nursing staff

被引用紀錄

賴雯珍、陳寶如、簡伊辰、洪麗琴（2020）。運用組合性照護降低神經外科加護病房導尿管相關泌尿道感染密度。彰化護理，27(1)，62-73。https://doi.org/10.6647/CN.202003_27(1).0009

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運用組合式存留導尿管照護提升加護病房護理人員執行正確率

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