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评估培训对血液透析服务中医护人员遵守感染控制措施的影响。

Assessing the Impact of Training on Healthcare Providers' Adherence to Infection Control Measures in Hemodialysis Services.

作者信息

Singh Sukhbir, Pandey Hemchandra, Aggarwal Hari K, Pal Shekhar

机构信息

Hospital Administration, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, IND.

Administration, Hemwati Nandan Bahuguna Medical Education University, Dehradun, IND.

出版信息

Cureus. 2023 Aug 5;15(8):e42978. doi: 10.7759/cureus.42978. eCollection 2023 Aug.

Abstract

Background and objective Developing and implementing nursing interventions to educate nurses on infection control procedures in hemodialysis units is of utmost importance and offers significant benefits in enhancing the quality of care. This study aimed to assess the impact of training on nursing professionals' practices of hospital infection control measures in hemodialysis services. The research also intended to explore the potential association between these practices and various sociodemographic variables. Materials and methods This was a single-group, pre- and post-interventional study carried out in Haryana State, India. A pretested questionnaire consisting of 29 statements, the responses of which were measured on a 5-point Likert scale, was used as the study tool. Descriptive and statistical tests like paired-t-test were used to analyze the data. Results The practices section of the questionnaire comprised 29 statements, the responses to which were measured on a five-point Likert scale. The scoring ranged from 5 ("strongly agree", i.e., positive practice) to 1 ("strongly disagree", i.e., negative practice). The maximum achievable score was 145 and the minimum achievable score was 9. The pre-test group (i.e., before training intervention) had a mean practice score of 115.0945 [standard deviation (SD)=9.34, standard error of the mean (SE)=0.66]. However, the post-test group (i.e. after training intervention) had a mean score of 135.26 (SD=8.34, SE=0.59). The study found that structured training significantly increased the mean practice score (t=-33.70, p=0.001). In addition, the study also highlighted the significant association of mean practice scores with various demographic variables among the pre-test and post-test groups. The improvement in mean practice scores among the post-test group after the structured training program reveals that such interventions will ultimately lead to a decrease in central line-associated bloodstream infections (CLABSIs) among hemodialysis patients. Conclusions Our findings showed that the educational intervention led to significant improvements in the practices of the participants.

摘要

背景与目的 制定并实施护理干预措施,对护士进行血液透析单位感染控制程序培训至关重要,对提高护理质量具有显著益处。本研究旨在评估培训对护理专业人员在血液透析服务中实施医院感染控制措施的影响。该研究还旨在探讨这些措施与各种社会人口统计学变量之间的潜在关联。材料与方法 这是一项在印度哈里亚纳邦进行的单组、干预前后对照研究。使用一份预先测试的问卷作为研究工具,该问卷由29个陈述组成,其回答采用5点李克特量表进行衡量。采用配对t检验等描述性和统计性测试对数据进行分析。结果 问卷的实践部分包含29个陈述,其回答采用5点李克特量表进行衡量。评分范围从5分(“强烈同意”,即积极实践)到1分(“强烈不同意”,即消极实践)。最高可得分为145分,最低可得分为9分。预测试组(即培训干预前)的平均实践得分为115.0945[标准差(SD)=9.34,均值标准误(SE)=0.66]。然而,后测试组(即培训干预后)的平均得分为135.26(SD=8.34,SE=0.59)。研究发现,结构化培训显著提高了平均实践得分(t=-33.70,p=0.001)。此外,该研究还强调了预测试组和后测试组中平均实践得分与各种人口统计学变量之间的显著关联。结构化培训项目后后测试组平均实践得分的提高表明,此类干预最终将导致血液透析患者中心静脉导管相关血流感染(CLABSI)的减少。结论 我们的研究结果表明,教育干预使参与者的实践有了显著改善。

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