评估预防中心静脉导管相关血流感染的中心静脉导管集束化护理的知晓水平和实施程度：一项基于问卷调查的观察性研究
Assessment of the Level of Awareness and Degree of Implementation of Central Line Bundles for Prevention of Central Line-associated Blood Stream Infection: A Questionnaire-based Observational Study.
作者信息
Singh Shailendra, Sharma Abhishek, Dhawan Manish, Sharma Seerat P
机构信息
Department of Hospital Administration, Command Hospital Air Force, Bengaluru, Karnataka, India.
Department of Anaesthesiology and Critical Care, Army Hospital (R&R), New Delhi, India.
出版信息
Indian J Crit Care Med. 2024 Sep;28(9):847-853. doi: 10.5005/jp-journals-10071-24785. Epub 2024 Aug 31.
AIM
The objective of this study was to assess the extent of knowledge and application of central line bundles in the intensive care unit (ICU) of a tertiary care hospital for the purpose of avoiding central line-associated bloodstream infections (CLABSI). This assessment was conducted through the use of a questionnaire.
MATERIALS AND METHODS
A cross-sectional study was conducted in the ICU, involving doctors and nurses. The study was observational in nature. The study employed a methodical validated questionnaire to evaluate the level of knowledge, attitude, and practice of central line bundles for the prevention of central line-associated bloodstream infections (CLABSI). The questionnaire was designed using preexisting awareness surveillance systems, infection control measures, and patient care practices that were specifically relevant to CLABSIs in the ICU. The data were analyzed utilizing SPSS.
RESULTS
The research involved a total of 93 healthcare professionals, consisting of 67 physicians and 26 nurses. The mean knowledge score among participants was 82%, with higher scores reported in individuals who had training in central line bundles. Healthcare professionals exhibited robust compliance with hand cleanliness, antiseptic skin preparation prior to insertion, aseptic draping of the patient, utilization of utmost sterile barriers, verification of central venous catheter (CVC) tip placement using chest X-ray or fluoroscopy, and preservation of a sterile environment.
CONCLUSION
The study emphasized the significance of training in enhancing understanding and adherence to central line bundling protocols in ICUs. Participants exhibited a high level of knowledge and commitment to recommended practices, indicating that this training can have a favorable effect on CLABSI rates.
HOW TO CITE THIS ARTICLE
Singh S, Sharma A, Dhawan M, Sharma SP. Assessment of the Level of Awareness and Degree of Implementation of Central Line bundles for Prevention of Central Line-associated Blood Stream Infection: A Questionnaire-based Observational Study. Indian J Crit Care Med 2024;28(9):847-853.
目的
本研究的目的是评估一家三级医院重症监护病房（ICU）中中心静脉导管集束预防措施的知识掌握程度和应用情况，以避免中心静脉导管相关血流感染（CLABSI）。该评估通过问卷调查进行。
材料与方法
在ICU对医生和护士进行了一项横断面研究。该研究本质上是观察性的。研究采用了一份经过方法学验证的问卷，以评估中心静脉导管集束预防中心静脉导管相关血流感染（CLABSI）的知识水平、态度和实践情况。问卷是根据现有的意识监测系统、感染控制措施以及与ICU中CLABSI特别相关的患者护理实践设计的。数据使用SPSS进行分析。
结果
该研究共涉及93名医护人员，其中包括67名医生和26名护士。参与者的平均知识得分是82%，接受过中心静脉导管集束培训的个体得分更高。医护人员在手部清洁、置管前皮肤消毒、患者无菌铺巾、使用最大无菌屏障、使用胸部X线或荧光透视检查中心静脉导管（CVC）尖端位置以及保持无菌环境方面表现出较强的依从性。
结论
该研究强调了培训在提高ICU中对中心静脉导管集束方案的理解和依从性方面的重要性。参与者对推荐做法表现出较高的知识水平和遵守意愿，表明这种培训可能对CLABSI发生率产生积极影响。
如何引用本文
Singh S, Sharma A, Dhawan M, Sharma SP. Assessment of the Level of Awareness and Degree of Implementation of Central Line bundles for Prevention of Central Line-associated Blood Stream Infection: A Questionnaire-based Observational Study. Indian J Crit Care Med 2024;28(9):847-853.
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