医疗保健工作者对体外膜氧化过程中获得感染的知识,态度和实践:一项国际研究
Ali Ait Hssain1, Fatemeh Bahramnezhad2, Amir Vahedian-Azimi3
1Medical Intensive Care Unit, Hamad General Hospital, Doha, Department of Medicine, Weill Cornell Medical College, Doha, College of Health and Life Science, Hamad Bin Khalifa University, Doha, Qatar.
Intensive & critical care nursing
|July 27, 2025
概括
评估了医疗保健工作者的知识,态度和实践 (KAP) 关于在体外膜氧化 (ECMO) 期间获得的感染. 针对性的培训和标准化的协议对于改善ECMO护理中的感染控制至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 预防传染病 预防传染病
- 医疗保健 专业教育 医疗保健 专业教育
背景情况:
- 获得的感染对接受体外膜氧化 (ECMO) 的患者构成重大风险.
- 了解医疗保健工作者 (HCWs) 的知识,态度和实践 (KAP) 对于ECMO期间有效的感染控制至关重要.
- 根据HCW的人口统计,职业角色和机构设置,KAP可能存在变化.
研究的目的:
- 评估HCWs在ECMO患者中获得感染方面的KAP.
- 识别与ECMO感染相关的HCW KAP分数预测的人口,专业和机构因素.
- 为制定有针对性的干预措施提供信息,以改善感染预防策略.
主要方法:
- 在2024年8月至10月期间,使用经过验证的在线问卷进行了一项国际跨部门调查.
- 该问卷评估了HCW的人口统计,职业特征,机构因素和KAP关于ECMO相关的获得性感染,使用7分利克尔特尺度.
- 分析了来自76个国家的566个高压工厂的数据,使用多变量和决策树分析.
主要成果:
- 在KAP分数和专业角色,ECMO经验和案件量之间发现了显著的关联.
- 经验较少的HCW和管理较少ECMO案件的HCW的实践得分更高.
- 老年,男性性别和医生地位与更大的知识和更积极的态度相关;专业角色和经验是KAP的关键预测因素.
结论:
- 有针对性的培训计划和标准化的协议对于提高HCW知识和预防ECMO相关感染的实践至关重要.
- 持续的教育和利用专业重症监护室 (ICU) 的最佳实践可以提高患者的安全.
- 解决影响KAP的因素对于医疗保健系统来说至关重要,以减少感染风险并改善ECMO患者的治疗结果.
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