关于预防和管理中央静脉相关血流感染知识的袖珍参考手册的有效性:一项实验前-测试-测试后研究

JayKumar Sharma
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引用次数: 0

摘要

背景:中心静脉相关血流感染(CLABSIs)是重症监护病房(icu)死亡的主要原因。中心静脉导管多用于ICU重症患者,提供长时间静脉通路、肠外营养、药物、血液制品等,但可引起血流感染和脓毒症,导致患者死亡。因此,预防和管理CLABSI对于控制死亡率是非常必要的。目的:本研究的重要目的是评估关于预防和管理CLABSI知识的袖珍参考手册的有效性。设计:本研究采用定量研究方法,采用实验前一组前测后测研究设计。地点:焦特布尔马图拉·达斯·马图尔医院重症监护室。对象:采用非概率方便抽样方法抽取80名ICU护士。对象和方法:采用自结构化知识问卷收集资料。问卷(30道选择题)被试完成前测。在此之后,对样本进行干预(预防和管理CLABSI袖珍参考手册)并进行后测。结果:数据显示,前测与后测知识得分的平均差异为5.75±1.754,t值为29.32 (P < 0.001,高度显著),在5%的显著性水平下。结论:通过本研究的数据分析,发现《CLABSI预防与管理袖口手册》可以有效提高ICU对CLABSI预防与管理的认识水平。
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Effectiveness of pocket reference booklet on knowledge regarding the prevention and management of central line-associated bloodstream infection: A preexperimental pretest–posttest study
Background: Central line-associated bloodstream infections (CLABSIs) are the major causes of death in intensive care units (ICUs). Central venous catheter is mostly used in ICU for critically ill patients to provide long-time intravenous access, parenteral nutrition, medication, blood products, etc., However, it can cause bloodstream infections and sepsis that cause the death of the patient. Hence, the prevention and management of CLABSI is very necessary to control the mortality rate. Objective: The important objective of this study was to assess the effectiveness of the pocket reference booklet on knowledge regarding the prevention and management of CLABSI. Design: This study adopted a quantitative research approach with a preexperimental one-group pretest–posttest research design. Setting (s): ICUs of Mathura Das Mathur Hospital, Jodhpur. Participants: A nonprobability convenient sampling technique was used to select 80 ICU nurses. Subjects and Methods: Data were collected using a self-structured knowledge questionnaire. The questionnaire (30 multiple-choice questions) was given to the participant to complete the pretest. After this, the intervention (pocket reference booklet on prevention and management of CLABSI) was implemented to sample and posttest was taken. Results: The data showed that the mean difference between pretest and posttest knowledge scores was 5.75 ± 1.754 and the t-value was 29.32 (P < 0.001, highly significant) at 5% of the level of significance. Conclusion: After the data analysis of this study, the pocket reference booklet on prevention and management of CLABSI was found to be effective to increase the level of knowledge on prevention and management regarding CLABSI in ICU.
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