儿科护理团队对外周静脉导管连接装置进行消毒的相关因素

IF 0.9 Q4 INFECTIOUS DISEASES
Thiago Lopes Silva, Luciano Marques dos Santos, Denise Miyuki Kusahara, Luz Verónica Berumen Burciaga, Camila Biazus Dalcin, S. de Souza, Aline de Souza Bitencourt, P.K. Rocha
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引用次数: 0

摘要

外周静脉导管插入术以及通过导管给药是护理团队实施最多的程序之一,因此需要采取预防措施以提供无伤害护理。为了验证儿科护理专业人员的工作班次和培训时间与正确消毒静脉导管装置的关系。2021 年 6 月至 8 月期间,在一家儿科医院的三个住院部进行了一项横断面分析研究。纳入标准为护理专业人员通过外周静脉导管给药。数据采用推断统计法进行分析,以 p≤.05 为显著性水平。共观察到 385 次给药过程。60.3%的病例未对器械进行消毒,86.3%的病例未在适当时间进行摩擦,72.5%的病例消毒剂未晾干。工作班次对消毒程序的执行没有影响 ( p = .376)。然而,培训时间越长,执行该程序的比例越低(p < .001)。低于建议时间进行摩擦会造成预防导管相关血流感染的错误认识;因此,应考虑开展培训课程并制定遵守消毒程序的策略,主要针对培训时间较长的专业人员。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors associated with the disinfection of devices attached to peripheral intravenous catheters performed by the nursing team in pediatric units
Peripheral intravenous catheterization, as well as drug administration through it, represents one of the most performed procedures by the Nursing team and, for that, precautions need to be adopted to offer harm-free care. To verify the association of Nursing professionals’ work shift and training time with proper disinfection of intravenous catheter devices in pediatric units. A cross-sectional and analytical study conducted between June and August 2021 in three hospitalization units of a Pediatric Hospital. The inclusion criterion was drug administration via peripheral intravenous catheters performed by Nursing professionals. The data were analyzed according to inferential statistics, adopting p ≤ .05 as significance level. There were a total of 385 observations of drug administration procedures. The device was not disinfected in 60.3% of the cases, there was no friction at the suitable time in 86.3%, and the disinfectant was not allowed to dry in 72.5%. The work shift exerted no influence on performance of the disinfection procedure ( p = .376). However, longer training time was associated with a lower rate in performing such procedure ( p < .001). Performing friction below the recommended time can cause a false sense of prevention of catheter-associated bloodstream infection; therefore, training sessions and strategies for adherence to the disinfection procedures should be considered, mainly for professionals with more training time.
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来源期刊
Journal of Infection Prevention
Journal of Infection Prevention Nursing-Advanced and Specialized Nursing
CiteScore
1.70
自引率
8.30%
发文量
46
期刊介绍: Journal of Infection Prevention is the professional publication of the Infection Prevention Society. The aim of the journal is to advance the evidence base in infection prevention and control, and to provide a publishing platform for all health professionals interested in this field of practice. Journal of Infection Prevention is a bi-monthly peer-reviewed publication containing a wide range of articles: ·Original primary research studies ·Qualitative and quantitative studies ·Reviews of the evidence on various topics ·Practice development project reports ·Guidelines for practice ·Case studies ·Overviews of infectious diseases and their causative organisms ·Audit and surveillance studies/projects
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