ประสิทธิผลของโปรแกรมการป้องกันการติดเชื้อในระบบทางเดินปัสสาวะที่สัมพันธ์กับการคาสายสวนปัสสาวะในพยาบาลหอผู้ป่วยอายุรกรรมหญิง

Abstract

Catheter-associated urinary tract infection (CAUTI) is a significant problem which increases costs and mortality rates for patients. Nurses are important in preventing such infections. This quasi-experimental research aimed to determine the effectiveness of a CAUTI prevention program on knowledge, practices, and CAUTI incidence in a secondary hospital during July 2023 to January 2024. The sample consisted of 30 nurses working in two female medical wards. The research instruments included the CAUTI prevention program, a demographic data questionnaire, a knowledge test, a practice observational recording form, and a CAUTI incidence form. The content validity indices of the knowledge test and the practice observational recording form were 0.94 and 0.95, respectively. The reliability of the knowledge test and the interrater reliability of the practice observational recording form were 0.98 and 1.00, respectively. The data were analyzed using descriptive statistics, Wilcoxon signed rank test, Chi-square test, and Fisher exact test. The results of the study revealed that after implementing the prevention program, the participants significantly increased their median knowledge scores for prevention of CAUTI from before implementation, from 12.00 to 19.00 out of 20.00 points (p<0.001), and the proportion of correct practices on prevention of CAUTI significantly increased from those before implementation, from 73.00% to 98.05% (p<0.001). The incidence of CAUTI decreased from 4.37 to 1.23 per 1,000 catheter days, resulting in a reduction of 3.55 times. The results of this study demonstrate that the CAUTI prevention program could enhance nurse’s knowledge and prevention practices, and reduce the incidence of CAUTI. This program should be implemented in other hospitals to prevent CAUTI.