運用Bundle Care降低呼吸照護中心泌尿道感染率之專案

The Project of Implementing Bundle Care to Reduce Catheter Associated Urinary Tract Infections in the Respiratory Care Center

賴美玉(Mei-Yu Lai) ； 曾瓊誼(Chiung-Yi Tzeng) ； 潘志維(Chin-Wei Pan) ； 李秋香(Chiu-Hsiang Lee)

《若瑟醫護雜誌》 9卷1期 (2015/07) Pp. 50-61

摘要

泌尿道感染是造成院內感染主因之一，除了造成住院天數延長及增加醫療成本外，也會提升病人之死亡率。統計2011年第一季泌尿道感染率為千分之9.3，數據有明顯上升現象，為減少泌尿道感染率，提昇本單位之照護品質，故成立本專案小組，藉由改善某呼吸照護中心泌尿道感染率，維護病人安全及提升護理照護品質。修訂導尿管照護作業標準、制定導尿管病人置入前評估標準、製作導尿管病人護理評估表、制定會陰部沖洗標準、規劃教育訓練及制定稽核制度。實施後泌尿道季感染率由千分之9.3。降為千分之5.9。本專案實施不僅改善本單位泌尿道感染率亦強化團隊合作精神，並提升醫療團隊預防概念及重視感染率之問題，進而提升醫療護理品質。

關鍵字

呼吸照護中心 ； 泌尿道戚染

並列摘要

Urinary tract infection is one of the major nosocomial infection occurs in hospitals. It raises medical expenditure by not only prolonging admission days but also increase morbidity and mortality rate. According to the statistic data reported by our infection control unit, the incidence of UTI was 9.3 per mille in the first quarter of 2011, which is significantly increased as compare with previous records. A special committee was summoned with a mission to decrease the incidence of UTI and promoting the quality of nursing care at our unit. Their tasks were as the followings, Revisions of current practice of foley care and patient evaluation before foley indwelling. Designing nursing evaluation sheet in foley indwelling patients and standardizing the perineum washing technique. Designing training program and establishing an audit system. Our incidence of UTI significantly decreased from 9.3 per mille to 5.9 per mille after putting these into practice. The project did not only decrease the incidence of UTI but also consolidate the spirit of our teamwork. The concept of preventive care in a medical teamwork was promoted as well as to attach importance to the infection problems. Most importantly, the quality of nursing care would be promoted.

並列關鍵字

postpartum women ； feeding methods ； feeding attitude

參考文獻

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