de Lima Erimara Dall'agnol, Fleck Caren Schlottefeld, Borges Januário José Vieira, Condessa Robledo Leal, Vieira Sílvia Regina Rios
Hospital São Vicente de Paulo - HSVP - Passo Fundo, Rio Grande do Sul RS, Brazil.
Rev Bras Ter Intensiva. 2013 Apr-Jun;25(2):115-22. doi: 10.5935/0103-507X.20130022.
To evaluate the effectiveness of an educational intervention on healthcare professionals' adherence to the technical recommendations for tracheobronchial aspiration in intensive care unit patients.
A quasi-experimental study was performed to evaluate intensive care unit professionals' adherence to the tracheobronchial aspiration technical recommendations in intensive care unit patients both before and after a theoretical and practical educational intervention. Comparisons were performed using the chi-square test, and the significance level was set to p<0.05.
A total of 124 procedures, pre- and post-intervention, were observed. Increased adherence was observed in the following actions: the use of personal protective equipment (p=0.01); precaution when opening the catheter package (p<0.001); the use of a sterile glove on the dominant hand to remove the catheter (p=0.003); the contact of the sterile glove with the catheter only (p<0.001); the execution of circular movements during the catheter removal (p<0.001); wrapping the catheter in the sterile glove at the end of the procedure (p=0.003); the use of distilled water, opened at the start of the procedure, to wash the connection latex (p=0.002); the disposal of the leftover distilled water at the end of the procedure (p<0.001); and the performance of the aspiration technique procedures (p<0.001).
There was a low adherence by health professionals to the preventive measures against hospital infection, indicating the need to implement educational strategies. The educational intervention used was shown to be effective in increasing adherence to the technical recommendations for tracheobronchial aspiration.
评估一项教育干预措施对医护人员在重症监护病房患者气管支气管吸引技术建议方面依从性的效果。
进行了一项准实验研究，以评估重症监护病房专业人员在理论和实践教育干预前后对重症监护病房患者气管支气管吸引技术建议的依从性。使用卡方检验进行比较，显著性水平设定为p<0.05。
共观察了干预前后的124项操作。在以下操作中观察到依从性增加：使用个人防护设备（p=0.01）；打开导管包装时的预防措施（p<0.001）；用优势手戴无菌手套取出导管（p=0.003）；无菌手套仅与导管接触（p<0.001）；取出导管时进行圆周运动（p<0.001）；操作结束时将导管包裹在无菌手套中（p=0.003）；使用在操作开始时打开的蒸馏水冲洗连接乳胶（p=0.002）；操作结束时处理剩余的蒸馏水（p<0.001）；以及进行吸引技术操作（p<0.001）。
医护人员对医院感染预防措施的依从性较低，表明需要实施教育策略。所采用的教育干预措施被证明在提高对气管支气管吸引技术建议的依从性方面是有效的。
