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模拟干预后对中心静脉导管感染预防措施的依从性

Compliance with central venous catheter infection prevention practices after intervention with simulation.

机构信息

Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.

Universidade Estadual de Feira de Santana. Feira de Santana, Bahia, Brazil.

出版信息

Rev Bras Enferm. 2023 Oct 9;76(4):e20220574. doi: 10.1590/0034-7167-2022-0574. eCollection 2023.

Abstract

OBJECTIVES

to assess the effect of an educational intervention based on clinical simulation on nursing professionals' compliance with practices to prevent peripherally inserted central venous catheter-associated primary bloodstream infections in a Neonatal Intensive Care Unit.

METHODS

a quasi-experimental study, with preand post-intervention assessment with a single group. The population consisted of 41 nursing professionals, with 31 observations being made before and after the intervention. Analyzes were performed using descriptive statistics and the McNemar non-parametric test. A significance level of 5% was adopted.

RESULTS

after the intervention, there was an increase in compliance with prevention practices of surgical antisepsis and professional hand hygiene, skin antisepsis with chlorhexidine, waiting for the time of the effect of alcoholic chlorhexidine and compliance with the sterile technique.

CONCLUSIONS

the educational intervention showed an effect on increasing compliance with catheter-associated infection prevention practices.

摘要

目的

评估基于临床模拟的教育干预对新生儿重症监护病房护理人员预防外周置入中心静脉导管相关原发性血流感染的实践的依从性的影响。

方法

这是一项准实验研究,采用单组前后测评估。该人群由 41 名护理专业人员组成,干预前后共观察了 31 次。采用描述性统计和麦克内马尔非参数检验进行分析。采用 5%的显著性水平。

结果

干预后,手术消毒和专业手部卫生、氯己定皮肤消毒、等待酒精氯己定效果时间和无菌技术的依从性有所提高。

结论

教育干预对提高导管相关性感染预防实践的依从性有效果。

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Antimicrob Steward Healthc Epidemiol. 2022 Feb 7;2(1):e20. doi: 10.1017/ash.2021.257. eCollection 2022.
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Education in the Pediatric Intensive Care Unit.儿科重症监护病房的教育。
Pediatr Clin North Am. 2022 Jun;69(3):621-631. doi: 10.1016/j.pcl.2022.01.016.
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Improvement of hand hygiene compliance among health care workers in intensive care units.重症监护病房医护人员手部卫生依从性的改善
J Prev Med Hyg. 2019 Mar 29;60(1):E31-E35. doi: 10.15167/2421-4248/jpmh2019.60.1.918. eCollection 2019 Mar.
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The concept of vulnerability applied to Healthcare-associated Infections.
Rev Bras Enferm. 2019 Jan-Feb;72(1):299-303. doi: 10.1590/0034-7167-2017-0584.

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