Department of Medical Nursing, School of Nursing, University of Gondar, Gondar, Ethiopia.
Department of Emergency and Critical Care, School of Nursing, University of Gondar, Gondar, Ethiopia.
BMC Womens Health. 2023 Jan 30;23(1):40. doi: 10.1186/s12905-023-02176-8.
Catheter-associated urinary tract infection is the source of about 20% of episodes of health-care acquired infections in acute care facilities and it is over 50% in long-term care facilities. In Ethiopia, there is no published scientific research regarding knowledge and practice of nurses on catheter-associated urinary tract infections prevention. Therefore, this study aimed to assess knowledge, practice and associated factors of CAUTI prevention among nurses working at university of Gondar comprehensive specialized hospital, northwest Ethiopia, 2021.
Institutional based cross sectional study was conducted at University of Gondar Comprehensive Specialized Referral Hospital from April 01 to May 01, 2021 among 423 nurses. Simple random sampling technique was used. Data were collected by using self-administered questionnaire then coded and entered into EPI- Data version 4.6 and then exported to SPSS version 23. Descriptive statistics was computed, and the result was summarized by texts, tables, and charts. All variables with P-value < 0.25 in the univariate analysis were included in the multivariable regression analysis. The degree of association was interpreted by using the adjusted odds ratio with 95% confidence intervals.
Good knowledge and practice of nurses towards CAUTI prevention was 37.7% and 51.8% respectively. Good knowledge was associated with sex [AOR = 1.84, 95% CI (1.09, 3.11)], work experience [AOR = 2.36, 95% CI (1.09, 5.10)], working unit [AOR = 6.9, 95% CI (2.11, 22.52)], training [AOR = 2.33, 95% CI (1.17, 4.65)] and had guideline [AOR = 2.78, 95% CI (1.59, 4.88)]. Good practice was associated with sex, work experience, attitude and knowledge towards CAUTI prevention [AOR = 2.19, 95% CI (1.23, 3.88)], [AOR = 5.44, 95% CI (1.66, 17.84)], [AOR = 3.06, 95% CI (1.65, 5.67)], and [AOR = 5.28, 95% CI (2.86, 9.76)] respectively.
Nearly one-third of nurses had good knowledge and more than half of nurses had good practice towards CAUTI prevention. Sex, work experience, work unit, presence of guideline, and training were significantly associated with knowledge. Sex, work experience, good attitude and, knowledge were associated with practice of nurses towards CAUTI prevention. The knowledge and practice towards catheter associated urinary tract infection prevention among nurses should be increased, so that the patients could enjoy and maintain the healthy lifestyle.
在急性护理机构中,导管相关尿路感染约占医疗保健相关感染的 20%,而在长期护理机构中则超过 50%。在埃塞俄比亚,尚无关于护士在预防导管相关尿路感染方面的知识和实践的已发表科学研究。因此,本研究旨在评估在埃塞俄比亚贡德尔大学综合专科医院工作的护士对导管相关尿路感染预防的知识、实践和相关因素,2021 年。
2021 年 4 月 1 日至 5 月 1 日,在贡德尔大学综合专科医院进行了一项基于机构的横断面研究,共纳入 423 名护士。采用简单随机抽样技术。使用自我管理问卷收集数据,然后进行编码并输入 EPI-Data 版本 4.6,然后导出到 SPSS 版本 23。计算描述性统计数据,并通过文本、表格和图表进行总结。单变量分析中 P 值<0.25 的所有变量均纳入多变量回归分析。通过 95%置信区间的调整比值比来解释关联程度。
护士对预防导管相关尿路感染的知识和实践良好的比例分别为 37.7%和 51.8%。良好的知识与性别[比值比(AOR)=1.84,95%置信区间(CI)(1.09,3.11)]、工作经验(AOR=2.36,95%CI(1.09,5.10)]、工作单位(AOR=6.9,95%CI(2.11,22.52)]、培训(AOR=2.33,95%CI(1.17,4.65))和指南(AOR=2.78,95%CI(1.59,4.88))有关。良好的实践与性别、工作经验、对导管相关尿路感染预防的态度和知识有关(AOR=2.19,95%CI(1.23,3.88))、[AOR=5.44,95%CI(1.66,17.84)]、[AOR=3.06,95%CI(1.65,5.67)]和[AOR=5.28,95%CI(2.86,9.76)]。
近三分之一的护士对预防导管相关尿路感染有良好的知识,超过一半的护士有良好的实践。性别、工作经验、工作单位、存在指南和培训与知识显著相关。性别、工作经验、良好的态度和知识与护士预防导管相关尿路感染的实践有关。应该提高护士预防导管相关尿路感染的知识和实践水平,以便患者能够享受和保持健康的生活方式。