Alshammari Bassam Shyhan, Alsaqri Salman Hamdan, Alkubati Sameer A, Llego Jordan H, Al-Sadi Ahmad K, Ali Aziza Z, Elsayed Wessam A, Balawi Anas Mahmoud, Nageeb Shaimaa Mohamed, Hamed Laila A
Prince Muteb Bin Abdulaziz Hospital, Al-Jouf Health Cluster, Ministry of Health, Sakaka City, Saudi Arabia.
Medical Surgical Nursing Department, College of Nursing, University of Hail, Hail, Saudi Arabia.
Belitung Nurs J. 2025 Apr 19;11(2):224-231. doi: 10.33546/bnj.3729. eCollection 2025.
Central venous catheter-related infections (CVC-RIs) are a significant concern in intensive care units (ICUs), contributing to increased morbidity, mortality, and healthcare costs. Nurses play a crucial role in preventing these infections through proper catheter care, adherence to aseptic techniques, and early detection of complications. However, knowledge gaps may hinder effective infection prevention and patient outcomes.
This study aimed to evaluate ICU nurses' knowledge of CVC-RI prevention and identify factors influencing their knowledge.
A cross-sectional study was conducted among 202 ICU nurses in Al-Jouf, Saudi Arabia, from April to June 2023. Data were collected using a self-reported questionnaire assessing knowledge across eight domains: CVC-RI pathophysiology, diagnosis, catheter insertion sites, frequency of CVC changes, skin antisepsis, dressing changes, use of antibiotics/antiseptic ointments, and general CVC care. Statistical analyses included frequency, percentage, mean, standard deviation, Mann-Whitney, Kruskal-Wallis, and univariate and multivariate logistic regression.
The mean knowledge score was 5.8 ± 2.3. The highest knowledge was observed in catheter insertion sites (47.8% of the total score), followed by CVC-RI diagnosis (34.9%) and dressing change frequency (40.3%). The lowest score was in CVC-RI pathophysiology (14.6%), indicating a significant knowledge gap. Age, education, training on CVC-RI prevention, and the source of information significantly influenced knowledge ( <0.05). Multivariate analysis revealed that education ( = 0.002) and receiving information on CVC-RI ( = 0.007) were significant predictors of higher knowledge. Nurses who received information from the Infection Control Unit demonstrated the highest knowledge levels ( = 0.008).
The findings emphasize the need for targeted educational programs and continuous professional development to address knowledge gaps in CVC-RI prevention. Healthcare institutions should prioritize up-to-date curricula, ongoing training initiatives, and reliable information sources to enhance ICU nurses' ability to prevent catheter-related infections and improve patient care outcomes. It is essential for nurses to actively engage in ongoing training to close knowledge gaps and enhance their role in infection prevention.
中心静脉导管相关感染（CVC-RIs）是重症监护病房（ICUs）中的一个重大问题，会导致发病率、死亡率上升以及医疗成本增加。护士在通过正确的导管护理、遵守无菌技术以及早期发现并发症来预防这些感染方面发挥着关键作用。然而，知识差距可能会阻碍有效的感染预防和患者预后。
本研究旨在评估重症监护病房护士对CVC-RI预防的知识，并确定影响其知识水平的因素。
2023年4月至6月，在沙特阿拉伯朱夫省对202名重症监护病房护士进行了一项横断面研究。使用一份自我报告问卷收集数据，该问卷评估了八个领域的知识：CVC-RI病理生理学、诊断、导管插入部位、CVC更换频率、皮肤消毒、换药、抗生素/抗菌软膏的使用以及一般CVC护理。统计分析包括频率、百分比、均值、标准差、Mann-Whitney检验、Kruskal-Wallis检验以及单变量和多变量逻辑回归。
平均知识得分是5.8±2.3。在导管插入部位的知识得分最高（占总分的47.8%），其次是CVC-RI诊断（34.9%）和换药频率（40.3%）。得分最低的是CVC-RI病理生理学（14.6%），表明存在显著的知识差距。年龄、教育程度、CVC-RI预防培训以及信息来源对知识有显著影响（<0.05）。多变量分析显示，教育程度（=0.002）和获得CVC-RI相关信息（=0.007）是知识水平较高的显著预测因素。从感染控制部门获得信息的护士知识水平最高（=0.008）。
研究结果强调需要开展有针对性的教育项目和持续的专业发展，以弥补CVC-RI预防方面的知识差距。医疗机构应优先考虑更新课程、持续培训计划以及可靠的信息来源，以提高重症监护病房护士预防导管相关感染的能力并改善患者护理结局。护士积极参与持续培训以弥补知识差距并增强其在感染预防中的作用至关重要。
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