Evaluation On Effect Of Quality Control Circle In Improving CAUTI Nursing Quality Of Inpatients

Background:Retention catheterization is used to treat the uroschesis.Retention catheterization may lead to urethral mucosa damage,disrupt the integrity of the urethal mucosa,which results in CAUTI(Catheter associated urinary tract infection).CAUTI means urinary tract infection which happens during prolonged use of indwelling catheters or within 48 hours after removal of catheter.More than 1 million of patients suffer from CAUTI one year.80%of CAUTI happened in hospital,meanwhile 80%of hospital CAUTI leads by urinary tract.Constant of hospital infection in 2015 shows that CAUTI occupies the first three hospital infection in neurology department.CAUTI can cause the disease get worse,prolong hospital stay and increase medical expenses of patients.2%-4%patients with indwelling catheters fall in bacteremia or septicemia,13%-30%of them may therefore die.So,we have tried to solve the CAUTI in recent years,wherever incidence rate cannot go down.In this study,we use Quality Control Circle to reduce the incidence of CAUTI in hospital patient.Objective:Quality Control Circle is used to analyze the reasons of CAUTI,make the measurements.The residence rate of CAUTI,patients satisfaction and all-round qualities of nurses are evaluated in this study.Methods:352 patients were divided into experimental group and control group.There are 178 patients in experimental group,meanwhile 174 patients in control group.Control group implements conventional nursing,the experimental group employs Quality Control Circle.Reasons of CAUTI,satisfaction of patients and comprehensive quality of nurses were investigated in this study.Data were analyzed by Sigmaplot software.A two-way repeated measures ANOVA was used to analyze between-groups differences in the thermal withdrawal latencies.X2 test was used to analyze the gender,incidence of CAUTI,diseases constitution,reasons of CAUTI and satisfaction of patients.Independent sample t-test was used to compare the differences in the age and all-round quality of nurses.The significance level was set at p<0.05.Results:1.The present condition and problem definition of CAUTI nursing quality:1.1 The CAUTI incidence of resident patients before applying quality circle is 20.69%,the satisfaction percentage is 94.25%;1.2 The causes of CAUTI analyzed by quality circle are as follows:1)Simple maintenance process,2)Inadequate supervision,3)Confronting guidelines,4)Inappropriate teaching;1.3 Counterplans according to above causes:1)Strengthening guide learning;2)Improving maintenance measures;3)Strengthening the supervision4)Improving the awareness;2.Effect evaluation2.1 The CAUTI incidence of resident patients was reduced to 7.87%(X2= 11.874,P=0.001)after applying quality circle;2.2 The satisfaction percentage was increased to 98.8%from 94.25%(X2=4.394,P<0.05);2.3 Comprehensive ability was improved after quality circle application.Conclusions:1.Quality Control Circle can reduce the incidence of CAUTI.2.Quality Control Circle can raise the patients satisfaction3.Quality Control Circle can promote the all-round qualities of nurses.4.Quality Control Circle can help to standardize the nursing operation,improve the efficiency and quality of nursing.