PICC维护时导管相关性血流感染预防措施应用现状调查
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女,硕士在读,护士

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湖南省科技创新计划临床医疗技术创新引导项目(2020SK51106);中华护理学会科研项目基金资助项目(ZHKY202106)


Survey on application of preventive measures for catheter-related bloodstream infection in PICC maintenance
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    摘要:

    目的 了解护士在PICC维护时导管相关性血流感染预防措施的应用现状,为规范护士 PICC 维护操作提供参考。 方法 2021年12月,从湖南省护理学会静脉输液专委会成员所在医院随机选取45所医院,采用便利抽样法从中抽取244名护士作为研究对象,采用自制调查表对护士PICC维护时导管相关性血流感染预防措施应用情况进行调查。 结果 护士PICC维护环节整体依从性得分为(79.59±1.82)分。在10个维度中,执行正确率排前3位的分别是评估患者(98.36%)、执行手卫生(94.26%)、更换输液接头(93.85%);执行正确率较低的分别是规范敷料更换与导管固定(67.21%)、消毒输液接头(52.05%)。不同工作年限及是否具有PICC资质证书的护士导管相关性血流感染预防措施整体应用依从性得分比较,差异有统计学意义(均P<0.05)。 结论 护士PICC维护环节应用导管相关性血流感染预防措施依从性较好,但知识与实践仍存在差距,各医疗机构需要采取针对性措施提高护士的依从性,从而降低导管相关性血流感染率。

    Abstract:

    Objective To understand the status quo of catheter-related bloodstream infection (CRBSI) preventive measures applied by nurses in PICC maintenance in Hunan province, and to provide reference for standardizing nurses′ PICC maintenance practice. Methods In December 2021, 244 nurses were selected from 45 hospitals in Hunan province.A self-made questionnaire on application of CRBSI preventive measures in PICC maintenance was used in on-site observation of the nurses′ maintenance practices. Results The maintenance compliance score of the nurses was (79.59±1.82) points, indicating good overall compliance.Among the 10 dimensions, the top 3 items with highest correct rates were "evaluation of patients" (98.36%), "hand hygiene" (94.26%) and "replacement of infusion joints" (93.85%).The items with poorest correct rate were "standardized dressing change and catheter fi-xation" (67.21%), and "disinfection of infusion joint (52.05%)". There was significant difference in overall compliance score of CRBSI preventive measures among nurses with different working years and with or without PICC qualification certificate (P<0.05 for both). Conclusion The compliance of CRBSI preventive measures applied by nurses in PICC maintenance in Hunan province is good, but there is still a gap between knowledge and practice.Targeted measures should be taken by medical institutions to improve the compliance of nurses, so as to reduce CRBSI rate.

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王童语,林琴,李旭英,王莉杰,方运霞. PICC维护时导管相关性血流感染预防措施应用现状调查[J].护理学杂志,2023,38(3):49-53

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  • 收稿日期:2022-09-17
  • 最后修改日期:2022-11-18
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  • 在线发布日期: 2023-12-29