三甲医院导尿管相关尿路感染现状及其与护理人力配置相关性分析  

Incidence of Catheter-Associated Urinary Tract Infection in Tertiary Hospitals in China and the Correlation with Nursing Manpower Allocation:A Cross-Sectional Study

作　　者：霍玉萌 张海燕 尚文涵 吴志军 蔡卫新[1] 么莉 HUO Yumeng;ZHANG Haiyan;SHANG Wenhan(Beijing Tiantan Hospital, Capital Medical University, Beijing, 10070, China)

机构地区：[1]首都医科大学附属北京天坛医院,北京100070 [2]国家卫生健康委医院管理研究所护理管理与康复研究部,北京100044 [3]中卫护理信息管理研究院,北京100986

出　　处：《中国卫生质量管理》2020年第6期72-75,80,共5页Chinese Health Quality Management

摘　　要：目的调查2015年-2017年我国三甲医院导尿管留置总日数及CAUTI发生率现状,并分析CAUTI与护理人员配置、床位数相关性,为完善相关研究提供依据。方法从国家护理质量数据平台获取2015年-2017年CAUTI数据。采用SPSS 22.0、Stata 14.1软件进行统计数据分析。结果2015年-2017年,导尿管留置总日数逐年增加(P<0.01);CAUTI发生率呈逐年下降趋势(P<0.01)。护患比与CAUTI发生率呈正相关,护士护理患者数每增加1人,CAUTI发生率将提高9%(P<0.05)。结论医院管理者应合理配置护理人力资源,加大感染防控力度,实施预防措施,以降低CAUTI发生率。Objective To analyze the number of urinary catheter-days and incidence of Catheter-associated Urinary Tract Infection(CAUTI)in tertiary hospitals in China from 2015 to 2017,and to analyze the correlation between CAUTI and nursing staff allocation and number of beds to provide evidence for improving CAUTI related studies.Methods The data of CAUTI was obtained from the National Nursing Quality Data Platform from 2015 to 2017.The SPSS 22.0 and Stata 14.1 were used for analysis.Results From 2015 to 2017,the total number of days with catheter indwelling increased year by year(P<0.01).The incidence of CAUTI decreased year by year(P<0.01).The nurse-patient ratio was positively correlated with the incidence of CAUTI,and the incidence of CAUTI increased by 9%for every 1 increase in the number of nursing patients(P<0.05).Conclusion Hospital managers should rationally allocate nursing human resources,strengthen infection prevention and control efforts,and implement preventive measures to reduce the incidence of CAUTI.

关 键 词：导尿管相关性尿路感染 发生率 护理人力 护理质量 

分 类 号：R47[医药卫生—护理学]