"护士-弓箭手"与隐藏的敌人作斗争
Samundeeswari Premkumar1, Yamunadevi Ramanathan2, Juliet Joji Varghese1
1Department of Nursing, Apollo Hospitals, Chennai, Tamil Nadu, India.
概括
前线护士接受了实践培训,以改善遵守中央线路相关血流感染 (CLABSI) 捆绑护理. 这种干预措施显著降低了COVID-19重病患者的CLABSI率.
科学领域:
- 感染控制 感染控制
- 关键护理护理 关键护理护理
- 医疗保健相关的感染
背景情况:
- COVID-19大流行严重影响了医疗保健系统,导致重症监护单位面临挑战.
- 由于COVID-19患者的捆绑护理遵守程度下降,中央线路相关的血液感染 (CLABSI) 的增加被观察到.
研究的目的:
- 评估COVID重症监护单位前线护士关于CLABSI捆绑护理的知识.
- 评估实践培训在提高CLABSI捆绑合规性和降低感染率方面的有效性.
主要方法:
- 采用了具有准实验设计的定性研究方法.
- 150名前线COVIDCCU护士参与了这项研究,在测试前和测试后评估了他们对CLABSI捆绑策略的知识.
- 提供了实践培训,以加强对CLABSI捆绑护理的坚持.
主要成果:
- 测试前的分数表明,57%的护士对CLABSI包的知识不足 (平均值=12.6,SD=2.37).
- 在训练 (t=22.06,p<0.00001) 之后,测试后的分数显著提高到80% (平均值=6.7,SD=2.28).
- 遵守CLABSI捆绑护理增加到83%,并显示出上升趋势,导致可预防的CLABSI率下降.
结论:
- 实践培训对于前线护士来说至关重要,以提高对CLABSI捆绑护理的坚持.
- 加强对CLABSI捆绑护理的遵守有效地降低了COVID-19重症患者可预防的CLABSI病率.
- 护士在预防和控制与医疗保健相关的感染方面发挥着至关重要的作用,即使在具有挑战性的环境中.
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