Clinical practice of prevention and control for catheter-associated urinary tract infection in medical intensive care unit:based on project manage-ment method
Objective To develop a scheme for preventing catheter-associated urinary tract infection(CAUTI)based on project management method,and evaluate its application effect on the prevention and control of CAUTI in patients with indwelling urinary catheters in the medical intensive care unit(MICU).Methods A total of 153 pa-tients with indwelling urinary catheters admitted to the MICU of a hospital were selected for analysis.Patients from July 2021 to March 2022 were set as the control group(n=78),adopting routine nursing methods.Patients from July to December 2022 were set as the intervention group(n=75),and intervened with nursing measures of project management.Catheterization days,length of hospital stay,and incidence of CAUTI between two groups of patients were compared.Difference in the main indicators of patients with brought catheters and those receiving catheters in this department in the intervention group during three quality cycles was compared.Results The duration of in-dwelling urinary catheters in the intervention group was shorter than that in the control group([9.51±2.57]days vs[11.10±2.82]days),with a statistically significant difference(t=8.207,P=0.038).There was no statistically significant difference in the length of hospital stay between two groups of patients(P＞0.365).In terms of cathe-terization days of patients,those in the second quality cycle was shorter than in the first quality cycle,and those in the third quality cycle was shorter than in the second quality cycle,both with statistically significant differences(both P＜0.05).The overall incidence of CAUTI in patients with indwelling catheters in the intervention group was shor-ter than that of the control group(20.00％vs 24.36％),with statistically significant differences(x2=6.937,P=0.026).Catheterization days between patients with brought catheters and those receiving catheters in this depart-ment were statistically significantly different both in the first and second quality cycles(both P＜0.05).The inci-dences of CAUTI between patients with brought catheters and those receiving catheters in this department were sig-nificantly different in the intervention group,as well as in the first and second quality cycles,respectively(all P＜0.05).Conclusion The application of project management method can reduce the incidence of CAUTI and catheter-ization duration of patients with indwelling urinary catheters in MICU,and improve the nursing quality of the entire process of indwelling catheters.
indwelling urinary cathetercatheter-associated urinary tract infectionproject managementmedical intensive care unitCAUTI
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