Abdelsatir Suhair
Faculty of Nursing Sciences, National Ribat University, Khartoum, Sudan.
Arab J Nephrol Transplant. 2013 May;6(2):119-21.
In hemodialysis (HD) wards, nurses play a pivotal role in HD access care. Unfortunately, guideline recommendations for routine preventive care are not always followed. This study was designed to evaluate nurses' awareness and practice of HD access care in Khartoum state, Sudan.
The study included 50 randomly selected HD nurses. Nurses' knowledge was evaluated using a participant-filled questionnaire and their practice was evaluated by direct monitoring. Variables were summarized as frequencies and related to nurses' educational level.
Females constituted 72% of study participants and 85% were university graduates. Half the nurses had more than two years experience in HD centers. Structured training on HD machines and HD access care was received by 56% and 54% of respondents respectively. All participants stated that proper HD access care helps prevent access infection but only 54% stated that it helps in preserving access function. Most nurses (98%) stated that hand hygiene in HD centers was necessary to prevent infection but only 70% were adherent to hand hygiene before access manipulation. Most nurses (98%) evaluated HD access function before connection but only 52% evaluated it for signs of infection. Nurses with a bachelor degree tended to be more adherent to hand hygiene (72.5 versus 42.9%, P=0.1) and the use of gloves (100% versus 85.7%, P=0.1) compared to nurses with a diploma degree, but the difference was not statistically significant.
HD nurses adherence to the recommended infection control measures in studied HD centers was suboptimal. HD centers are required to organize adequate training on HD access care for their nursing staff.
在血液透析（HD）病房中，护士在HD通路护理中起着关键作用。不幸的是，常规预防护理的指南建议并非总是得到遵循。本研究旨在评估苏丹喀土穆州护士对HD通路护理的认识和实践情况。
该研究纳入了50名随机选取的HD护士。通过让参与者填写问卷来评估护士的知识水平，并通过直接监测来评估他们的实践情况。变量以频率进行汇总，并与护士的教育水平相关。
女性占研究参与者的72%，85%为大学毕业生。一半的护士在HD中心有两年以上的工作经验。分别有56%和54%的受访者接受过关于HD机器和HD通路护理的结构化培训。所有参与者均表示，适当的HD通路护理有助于预防通路感染，但只有54%的人表示这有助于维持通路功能。大多数护士（98%）表示HD中心的手部卫生对于预防感染是必要的，但只有70%的人在进行通路操作前坚持手部卫生。大多数护士（98%）在连接前评估HD通路功能，但只有52%的人评估其是否有感染迹象。与拥有文凭的护士相比，拥有学士学位的护士更倾向于坚持手部卫生（72.5%对42.9%，P = 0.1）和使用手套（100%对85.7%，P = 0.1），但差异无统计学意义。
在所研究的HD中心，HD护士对推荐的感染控制措施的依从性欠佳。HD中心需要为其护理人员组织关于HD通路护理的充分培训。
