密集护理和重症监护护士的合规性,障碍和挑战与呼吸器相关的肺炎预防:一个横截面研究
Hazel Novela Villagracia1, Tahani Nasser Alhejaili2,3, Bushra Alshammari1
1Medical-Surgical Nursing Department, College of Nursing, University of Ha'il, Ha'il, Saudi Arabia.
BMC nursing
|July 17, 2025
概括
集中和重症监护护护士 (ICCNs) 之间的呼吸机相关肺炎 (VAP) 预防遵守受到人员短缺和资源限制的阻碍. 增加的障碍与减少的合规性相关,突出了改善支持和培训的必要性.
科学领域:
- 临界护理护理重症监护护理
- 预防和控制感染.
- 患者安全 患者安全
背景情况:
- 呼吸机相关肺炎 (VAP) 是重症监护中的一个重大问题,影响患者的治疗结果和医疗成本.
- 沙特阿拉伯的研究表明,VAP的发生率是可变的,并不一致地遵守预防措施.
- 关于VAP预防的国家数据不够.
研究的目的:
- 评估重症和重症监护护士 (ICCNs) 自我报告的遵守VAP预防指南.
- 确定ICCN在照顾机械通风患者时所面临的障碍和挑战.
- 检查与遵守相关的人口因素和影响VAP预防的因素.
主要方法:
- 采用了一种描述性,相关性,横截面的研究设计.
- 152名ICCN从两个政府三级医院招募.
- 数据是通过自报告尺度从2024年4月到6月收集的,使用描述和推断统计数据进行分析.
主要成果:
- 43%的ICCN报告说,他们高度遵守VAP预防指南.
- 在使用防护手套 (96.70%) 时观察到高合规度. 11-15年经验的护士表现出更高的合规性 (p=0.023).
- 主要障碍包括护理人员短缺 (94.10%) 和有限的资源 (75.00%). 增加的障碍对合规性产生了负面影响 (p=0.002).
结论:
- 人员短缺和资源限制显著影响ICCN的VAP预防合规性.
- 对VAP预防的感知障碍与合规程度相反相关.
- 建议包括全面培训,跨学科合作,加强资源配置和政策制定.
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