Effect of quality control circle activity on shortening postoperative urinary catheter indwelling time of obstetrics and gynecology department patients undergoing abdominal surgery
OBJECTIVE To explore the effect of quality control circle(QCC)on shortening the urinary catheter in-dwelling time of the obstetrics and gynecology department patients undergoing abdominal surgery and evaluate the effect on reducing the incidence of urinary catheter-associated urinary tract infection.METHODS The patients who were hospitalized and underwent abdominal surgery in the Second Affiliated Hospital of Naval Medical University before and after the QCC activity was carried out were recruited as the research subjects,59 patients who were treated from Dec 10,2020 to Dec 30,2020 were before the QCC activity was carried out,and 61 patients who were treated from May 13,2021 to Jun 2,2021 were after the QCC activity was carried out.The postoperative u-rinary catheter indwelling time,incidence of urinary catheter-associated urinary tract infection(CAUTI),initial off-bed time after surgery and postoperative length of hospital stay were observed and compared between the two groups of patients.RESULTS The urinary catheter indwelling time of the abdominal surgery patients was(21.54±4.92)hours after the QCC activity was carried out,(34.84±8.74)hours before the QCC activity was carried out,and there was significant difference(P＜0.05).3 patients had CAUTI before the QCC activity was carried out,while no patient had CAUTI after the QCC activity was carried out.The initial off-bed time of the pa-tients was shorter after the QCC activity was carried out than before the QCC activity was carried out(P＜0.05).There was no significant difference in the postoperative length of hospital stay.The ability of solving problem,re-sponsibility,communication and coordination,self-confidence,team cohesion,enthusiasm,quality control tech-niques and harmony of the circle members were positively improved.CONCLUSION The QCC activity can effec-tively shorten the urinary catheter indwelling time and the initial off-bed time,boost the team cohesiveness during the whole process,and standardize the prevention and control procedures of CAUTI.
Quality control circleAbdominal surgeryUrinary catheter indwelling timeCatheter-associated uri-nary tract infection
NETL
NSTL
万方数据
维普
