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教育干预对重症监护病房护士预防中心静脉导管感染知识和态度的影响

Impact of an Educational Intervention on Knowledge and Attitudes Regarding Prevention of Central Line Infection Among ICU Nurses.

作者信息

Alzoubi Majdi, Assaf Duaa Abu, Al-Mugheed Khalid, Oweidat Islam A, Alabdullah Amany Anwar Saeed, Abdelaliem Sally Mohammed Farghaly

机构信息

Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan.

College of Nursing, Riyadh Elm University, Riyadh, Saudi Arabia.

出版信息

Nurs Crit Care. 2025 Jul;30(4):e70087. doi: 10.1111/nicc.70087.

Abstract

BACKGROUND

Central line-associated bloodstream infections (CLABSI) represent a significant threat to patient safety, particularly in Intensive Care Units (ICUs). Despite evidence-based guidelines for CLABSI prevention, adherence remains suboptimal, particularly among ICU nurses in Jordan.

AIM

To assess the impact of an educational intervention on ICU nurses' knowledge and attitudes regarding the prevention of CLABSI.

STUDY DESIGN

One-group pre-test-post-test quasi-experimental design was employed. Fifty-two ICU nurses from two Jordanian hospitals participated. Data were collected using a self-reported questionnaire assessing knowledge and attitudes towards CLABSI prevention before and after the intervention. Statistical analyses were descriptive statistics and paired t-tests to evaluate the intervention's effectiveness on knowledge and attitudes.

RESULTS

The results indicate a significant improvement in knowledge scores following the educational intervention. The mean knowledge score increased from 37.34 ± 16.95 before the intervention to 79.49 ± 21.73 after the intervention, with a mean difference of 42.15 (95% CI: 35.29 to 49.01), p < 0.001. In contrast, there was no significant change in attitude scores. The pre-intervention mean attitude score was 16.44 ± 4.16, while the post-intervention score was 16.38 ± 3.46, with a mean difference of -0.06 (95% CI: -1.06 to 0.94), p = 0.938.

CONCLUSION

The educational intervention effectively improved ICU nurses' knowledge regarding CLABSI prevention but did not significantly change their attitudes. Tailoring interventions to demographic characteristics may further enhance their effectiveness and contribute to better patient outcomes and healthcare quality.

RELEVANCE TO CLINICAL PRACTICE

ICU nurses require ongoing, comprehensive training programmes that encompass both knowledge enhancement and attitude development.

摘要

背景

中心静脉导管相关血流感染(CLABSI)对患者安全构成重大威胁,尤其是在重症监护病房(ICU)。尽管有基于证据的CLABSI预防指南,但依从性仍不理想,在约旦的ICU护士中尤为如此。

目的

评估教育干预对ICU护士关于预防CLABSI的知识和态度的影响。

研究设计

采用单组前后测准实验设计。来自约旦两家医院的52名ICU护士参与。在干预前后使用自我报告问卷收集数据,该问卷评估对CLABSI预防的知识和态度。统计分析采用描述性统计和配对t检验,以评估干预对知识和态度的有效性。

结果

结果表明,教育干预后知识得分有显著提高。干预前平均知识得分从37.34±16.95提高到干预后的79.49±21.73,平均差异为42.15(95%CI:35.29至49.01),p<0.001。相比之下,态度得分没有显著变化。干预前平均态度得分为16.44±4.16,干预后得分为16.38±3.46,平均差异为-0.06(95%CI:-1.06至0.94),p=0.938。

结论

教育干预有效提高了ICU护士关于CLABSI预防的知识,但没有显著改变他们的态度。根据人口统计学特征调整干预措施可能会进一步提高其有效性,并有助于改善患者结局和医疗质量。

与临床实践的相关性

ICU护士需要持续的、全面的培训计划,包括知识提升和态度培养。

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