确定儿童中枢线相关血流感染的危险因素:德尔菲和模糊分析层次过程研究
Seda Ardahan Sevgili1, Ayşe Kahraman1
1Ege University, Faculty of Nursing, Pediatric Nursing Department, PO Box 35100, İzmir, Turkey.
Journal of pediatric nursing
|December 2, 2025
概括
这项研究确定了儿童中枢线相关血流感染 (CLABSI) 的关键风险因素. 优先考虑与医疗保健相关的因素和医疗保健专业知识,以改善感染预防策略.
科学领域:
- 传染病流行病学 传染病流行病学
- 改善医疗保健质量 改善医疗保健质量
- 医疗信息学 医疗信息学
背景情况:
- 中枢线相关的血流感染 (CLABSI) 是儿科医疗保健的一个重大问题.
- 识别和优先考虑风险因素对于有效的预防策略至关重要.
- 中枢静脉/口腔导管增加了儿童血液感染的风险.
研究的目的:
- 确定和权重的风险因素,对于儿童患者的CLABSIs与中央静脉/港口导管.
- 利用德尔菲方法和模糊分析层次流程,在风险因素上达成专家共识.
- 为制定针对CLABSI的有针对性的预防措施提供信息.
主要方法:
- 文献审查和专家讨论以确定潜在的风险因素.
- 两轮的德尔菲调查收集专家意见和评估共识.
- 模糊分析层次流程 (FAHP) 用于权衡和优先考虑已识别的风险因素.
- 计算专家权威系数 (0.858) 和肯德尔W值 (0.261,p < 0.001) 以验证专家协议.
主要成果:
- 在CLABSIs的5个主要和24个次要风险因素上达成共识.
- 与医疗保健相关的因素成为最重要的主要指标 (0.516).
- 医疗保健专业人员的知识和技能被确定为最关键的次要指标 (0.229).
结论:
- 专家共识确定了在儿科患者中导致CLABSI的关键风险因素.
- 这些发现为感染控制计划提供了优先考虑的因素列表.
- 结果支持在临床环境中实施基于证据的预防措施,以减少CLABSI.
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