增强知识,态度和实践:一项实验性受控研究评估了对血液透析护士抗微生物药物耐药性的m-health培训的有效性
Hossam Alhawatmeh1, Mohammed Aljarrah1, Issa M Hweidi1
1Department of Adult Health Nursing, College of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
SAGE open medicine
|February 13, 2025
概括
一个m-health培训计划显著提高了护士的知识,态度和实践,涉及血液透析单位的抗菌素耐药性. 这种移动卫生干预提供了一个可扩展的解决方案,以打击抗菌素耐药性.
科学领域:
- 传染性疾病 传染性疾病
- 医疗保健培训 医疗保健培训
- 公共卫生 公共卫生
背景情况:
- 血液透析患者有很高的感染风险,导致抗菌素使用和耐药性增加.
- 护士对抗生素耐药性的知识缺口需要有效的教育干预措施.
研究的目的:
- 评估移动健康 (m-health) 培训计划对护士关于抗菌素耐药性 (AMR) 的知识,态度和实践的影响.
- 评估m-health干预措施在改善血液透析环境中的AMR意识和实践方面的有效性.
主要方法:
- 一个平行组随机对照试验,涉及64名血液透析单位的护士.
- 干预组通过WhatsApp聊天机器人接受了AMR教育,而对照组接受了标准护理.
- 护士的知识,态度和做法在基线,干预后立即和一个月后被测量.
主要成果:
- 在所有时间点的m-health组的知识,态度和与抗菌素耐药性相关的实践平均得分均有显著改善.
- 重复措施的ANOVA揭示了显著的相互作用效应,证实了m-health干预对护士对AMR原则的理解和应用的积极影响.
结论:
- 移动健康培训计划有效地增强了血液透析护士关于抗菌素耐药性的知识,态度和实践.
- 调查结果支持将移动健康战略整合到医疗机构中,以对抗抗药性耐药性,并为有效干预提供政策制定信息.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.4K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.4K
Dialysis
254
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
254
Hand hygiene
3.1K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.1K
Heart Failure Drugs: Diuretics
338
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
338
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
374
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
374
Hormonal Regulation
32.8K
The renin-aldosterone system is an endocrine system which guides the renal absorption of water and electrolytes, thus managing blood pressure and osmoregulation. Activation of the system begins in the kidneys with a small cluster of cells adjacent to the afferent and efferent blood vessels of the renal corpuscle. As the nephrons are filtering blood, juxtaglomerular cells monitor blood pressure. If they detect a decrease in pressure, they release the hormone renin into the bloodstream.
32.8K


