教育计划对护士预防接受全肠外营养的儿童感染工作的影响

Omyma Mohamed, Rahma Bahgat, Maha Elaraby
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摘要

背景:全肠外营养对于无法通过肠胃系统摄取食物的儿童至关重要,但也会出现很多并发症,其中最常见、最严重的是血液感染。本研究旨在评估教育计划对护士预防接受全肠外营养的儿童感染的影响。研究对象和方法研究对象:坦塔大学医院的 35 名护士和 Al-Mabra 医院的 15 名护士。在重症监护病房接受全肠外营养的 50 名儿童。研究地点研究在坦塔大学主医院和 Al Mabra 坦塔医院的儿科重症监护室进行。使用四种工具收集数据:工具一:结构化访谈表,用于收集护士的社会人口学数据并评估护士的知识;工具二:使用观察核对表评估护士的工作表现;工具三:与接受全肠外营养的儿童感染有关的实验室调查:(血沉、CRP、白细胞 S、血培养);工具四:儿童的生理和体格测量 结果:研究表明,教育计划对护士预防感染的知识和实践都有积极影响,对改善接受全肠外营养的儿童的状况具有重要意义。结论:教育计划对护士的工作表现、儿童的生理和身体状况以及全肠外营养感染的预防都有积极影响。建议:应鼓励并重复实施针对接受全肠外营养的儿科重症监护病房患儿的教育和培训计划,以预防感染。
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Effect of Educational program on Nurses’ Performance Regarding Prevention of Infection among Children Receiving Total Parenteral Nutrition
Background: Total parenteral nutrition is vital for children who unable to consume their food through gastrointestinal system, there are a lot of complications; the most common and serious is blood infection. The study was aimed to evaluate the effect of educational program on nurses’ performance about prevention of infection among children receiving total parenteral nutrition. Subjects and method: Subjects: A convenience sampling of thirty five nurses from Tanta University Hospital and fifteen nurses from Al-Mabra Hospital. Fifty children at Intensive Care Units that were received total parenteral nutrition. Setting: The study conducted at Pediatric Intensive Care Unit of Tanta Main University Hospital and Al Mabra Tanta Hospital . Four tools were used to collect data : Tool I; structured interview schedule to collect sociodemographic data of nurses and assess nurses, knowledge, Tool II; assess nurses performance using observational check lists, Tool III; laboratory investigation related to infection of children receiving total parenteral nutrition: (ESR, CRP, WBC S , Blood culture), Tool IV; physiological and physical measurement of children Results: revealed that educational program have positive effect on both knowledge and practice of nurses regarding prevention of infection and significance improvement in condition of children receiving total parenteral nutrition. Conclusion : Educational program have positive effect on performance of nurses, physiological and physical condition of children and prevention of infection occur with total parenteral nutrition. Recommendation: implementation of educational and training programs should be encouraged and repeated for pediatric intensive care unit children who received total parenteral nutrition to prevent infection.
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