血管接入护理质量的解释模型:跨截面观测研究的结果
Sonia Casanova-Vivas1,2, María Luisa Ballestar-Tarín1,3, Pablo García-Molina1
1Nursing Department, Facultat d'Infermeria i Podologia, Universitat de València, 46010 Valencia, Spain.
Nursing reports (Pavia, Italy)
|May 28, 2024
概括
优化血管接入 (VA) 护理至关重要. 影响VA设备质量的关键因素包括炎的存在和插入部位的可见性,指导标准化护理实践.
科学领域:
- 护理 护理 护理 护理
- 预防感染 预防感染
- 患者安全 患者安全
背景情况:
- 对患者的血管接入 (VA) 设备进行护理的有效管理是医疗机构的关键优先事项.
- 确保VA设备的质量和维护对于预防并发症和促进患者福祉至关重要.
研究的目的:
- 确定各种变量对住院患者VA设备护理和维护质量的贡献.
- 确定影响VA设备状况和相关护理的评估的关键因素.
主要方法:
- 进行了一项观察性,横截面研究,涉及1576个VA设备,遵守STROBE声明.
- 使用INCATIV问卷收集数据,然后对收集的变量进行多变量分析.
主要成果:
- 50%的VA设备获得了良好的或非常好的评价. 发现了与解剖位置,穿衣类型,NFC使用和穿衣条件的积极相关性.
- 炎的存在 (OR = 20.579) 和不可见的插入部位 (OR = 14.209) 是不良VA护理评估的最强有力的预测因素.
- 未覆盖的VA光和没有无针连接器 (NFC) 与负面的质量评估有关.
结论:
- 管理已识别的变量是确保最佳VA设备护理和患者结果的关键.
- 为护理专业人员建立标准化的护理方法可以改善VA设备管理.
- 研究结果支持开发一个新的VA设备护理质量指标.
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