某院两种导管冲洗方法的成本效益比较  

Cost-benefit Analysis of Pre-filled Catheter Irrigator and Artificial Flush Fluid Washing Method

作　　者：金春林[1] 李婷[2] 段光锋[2] 田文华[2] 

机构地区：[1]上海市医学科学技术情报研究所,上海200040 [2]第二军医大学卫生勤务学系,上海200433

出　　处：《解放军医院管理杂志》2015年第11期1065-1067,共3页Hospital Administration Journal of Chinese People's Liberation Army

基　　金：上海市卫生发展研究中心委托项目(20124436)

摘　　要：目的对"预充式导管冲洗器"和传统人工配置冲洗液用于导管冲洗、封闭护理时的成本-效益进行比较,为临床推广提供依据。方法 2012年7—10月,选取某综合医院的ICU两个病房,采取整群随机分组,分成实验组和对照组,实验组102人,对照组98人。实验组用预充式导管冲洗器对导管进行冲、封管;对照组用传统的人工配置的冲洗液对导管进行冲、封管,以导管堵塞及相关感染导致的直接医疗费用为效益值,进行预充式导管冲洗器成本-效益分析。结果实验组总成本高于对照组,但使用预充式导管冲洗器会避免护士配置冲洗液时的针刺伤并能通过降低导管相关感染带来效益。结论对于传染性强、高感染病房首选使用预充式导管冲洗器;对于卫生条件和护理操作规范尚差的社区医院、乡镇卫生院可以选择使用预充式导管冲洗器;工作量大的三级医院建议使用预充式导管冲洗器进行冲、封管。Objective To compare the cost - benefit of pre - filled catheter irrigator and conventional arti- ficial flush fluid for catheter flushing and sealing. Methods During July to October in 2012, two wards from ICU in a general hospital were selected and randomly assigned into the experimental group （102 participants） and con- trol group （98 participants）. Pre -filled catheter irrigators were used for catheter flushing and sealing in the exper- imental group, while the conventional artificial flush fluid was used in the control group. Results The total cost of experimental group was higher than control group. Pre - filled catheter irrigators could avoid nurses wounded by needle, and produce benefits by decreasing the catheter irrigators＂ related infections. Conclusion Pre -filled catheter irrigator is preferred for the high contagious and infective wards. It can be considered for community hospi- tals and township hospital where sanitation and nursing condition is still poor. It is recommended for catheter flush- ing and sealing in tertiary hospitals with heavy workload.

关 键 词：预冲式导管冲洗器 血流感染 成本 效益 

分 类 号：R197.32[医药卫生—卫生事业管理]