护士对重症监护室中CLABSI预防的知识,态度和实践:一项观察性研究
Vito Muschitiello1, Carmela Marseglia2, Luisa Cusanno1
1Department of Emergency and Urgency, Azienda Ospedaliera Universitaria Consorziale Policlinico of Bari, Bari, Italy.
The journal of vascular access
|July 27, 2024
概括
密切护理护士表现出良好的实践和态度,以防止中央静脉导管 (CVC) 血流感染 (CLABSI),但缺乏预防指南的知识. 建议加强培训和指南传播,以改善CLABSI预防策略.
科学领域:
- 感染控制 感染控制
- 护理实践 护理实践
- 公共卫生 公共卫生
背景情况:
- 中枢静脉导管 (CVC) 在ICU中是必不可少的,但存在高风险的CVC相关的血液感染 (CLABSI).
- 已建立的指导方针存在,以减轻CLABSI风险,需要医疗保健专业人员遵守.
研究的目的:
- 评估重症监护室 (ICU) 护士对CLABSI预防的知识,态度和实践.
- 发现ICU护士对CLABSI预防指南的理解和应用方面的差距.
主要方法:
- 在2023年3月至9月期间,在六个ICU进行了一项多中心横截面研究.
- 一项包含人口统计数据和埃斯波西托MR问卷 (基于CDC 2011年指南) 的调查评估了知识,态度和做法.
主要成果:
- 在121名参与护士中,有72%的人不熟悉CLABSI预防指南.
- 护士们对指导方针和手部卫生表现出积极的态度,尽管有些人认为手套取代了洗手.
- 实践总体上是令人满意的,对CVC带更换 (96.7%) 和输液组更换 (99.2%) 的高度坚持,但较低的接入端口消毒 (71.2%).
结论:
- 护士对CLABSI预防指南的知识存在重大差距,尽管积极的态度和实践.
- 显然需要加强培训计划和改进指南传播策略,以降低CLABSI率.
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