Effect of Quality Improvement Care on Prevention of Catheter-associated Urinary Tract Infections in ICU based on Risk Core Element Assessment
Objective To explore and analyze the effect of quality improvement nursing based on risk core element assessment on prevention of catheter-associated urinary tract infection in ICU.Methods A total of 60 patients with indentured urinary catheter admitted to the intensive care unit(ICU)of our hospital from February 2019 to February 2023 were selected and divided into control group(given routine urinary tract infection intervention measures)and quality improvement group(given quality improvement intervention based on risk core element assessment on the basis of the control group)according to the admission time,with 30 patients in each group.The hand hygiene compliance of medical staff in the two groups was compared,and the incidence of catheter-related urinary tract infection,urinary catheter indwelling time,bladder irritation symptom duration,quality of life score,incidence of urinary catheter adverse events and nursing satisfaction were compared between the two groups.Results The duration of catheter retention and ICU stay in the quality improvement group was shorter than that in the control group,and the incidence of urinary tract infection associated with catheter was 6.67%,which was lower than 26.67%in the control group,with statistical significance(P＜0.05).After intervention,the quality of life score of the quality improvement group was higher than that of the control group(P＜0.05).The incidence of adverse events in quality improvement group was 3.33%,which was lower than that in control group(20.00%)(P＜0.05).The nursing satisfaction of the quality improvement group was 93.33%,which was higher than that of the control group 73.33%(P＜0.05).The rate of hand hygiene knowledge mastery and hand hygiene practice in quality improvement group was higher than that in control group(P＜0.05).Conclusion Quality improvement based on risk core element assessment can shorten the length of stay of ICU patients,reduce the probability of patients with urinary tract infection,improve the hand hygiene compliance of medical staff,improve the quality of life and nursing satisfaction of ICU patients,and reduce the occurrence of adverse events.
Risk core element assessmentQuality improvementPreventionIntensive care unitCatheter-associated urinary tract infection
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