导尿管相关尿路感染：实施一项降低肿瘤患者群体发病率的方案
Catheter-Associated Urinary Tract Infections: Implementing a Protocol to Decrease Incidence in Oncology Populations .
作者信息
McCoy Charis, Paredes Monica, Allen Sara, Blackey Jennifer, Nielsen Carol, Paluzzi Amy, Jonas Brittney, Radovich Patti
机构信息
GraceMed.
Loma Linda University Medical Center.
出版信息
Clin J Oncol Nurs. 2017 Aug 1;21(4):460-465. doi: 10.1188/17.CJON.460-465.
BACKGROUND: The impact of catheter-associated urinary tract infections (CAUTIs) on immunocompromised patients with cancer requires preventive intervention from bedside nurses. .
OBJECTIVES: This protocol aims to prevent CAUTIs in the inpatient oncology population by implementing an evidence-based, nurse-driven protocol for discontinuing indwelling urinary catheters (IUCs). .
METHODS: Following a literature review of 34 articles, a nurse-driven CAUTI prevention protocol was developed and implemented on two 26-bed oncology units. Unit staff were educated on the protocol and use of the audit tool. .
FINDINGS
Although CAUTI rates remained unchanged, infections per 1,000 IUC days decreased, and adherence among oncology nurses rose 66%-90% within the first two months. The protocol encouraged preventive intervention from RNs to protect patients with cancer from CAUTIs.
背景
导尿管相关尿路感染（CAUTIs）对免疫功能低下的癌症患者的影响需要床边护士进行预防性干预。
目的
本方案旨在通过实施一项基于证据、由护士主导的拔除留置导尿管（IUCs）方案，预防肿瘤住院患者发生CAUTIs。
方法
在对34篇文章进行文献综述后，制定了一项由护士主导的CAUTI预防方案，并在两个拥有26张床位的肿瘤科室实施。对科室工作人员进行了该方案及审计工具使用方面的培训。
结果
虽然CAUTI发生率保持不变，但每1000个IUC日的感染数有所下降，且肿瘤科室护士在前两个月内的依从率提高了66%-90%。该方案鼓励注册护士进行预防性干预，以保护癌症患者免受CAUTIs的侵害。
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