...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Iranian red crescent medical journal >A Survey of Adherence to Guidelines to Prevent Healthcare-Associated Infections in Iranian Intensive Care Units
【24h】

A Survey of Adherence to Guidelines to Prevent Healthcare-Associated Infections in Iranian Intensive Care Units

机译：遵守对伊朗重症监护病房预防医疗保健相关感染的准则的调查

获取原文
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Healthcare-associated infections (HAIs) are acquired by patients while receiving care. The highest incidence of HAIs has been documented in admissions to intensive care units. Adherence to evidence-based practices is the most important step for preventing HAIs. Objectives: To determine the rate of adherence to evidence-based post-insertion recommended care practices after admission into the intensive care unit for the following devices: central line catheter, indwelling urinary catheter, and mechanical ventilator. Patients and Methods: A structured observational cross-sectional research design was used. Data were collected using a checklist and a self-report questionnaire. The minimum sample size required for this study was 276 post-insertion care episodes, and 332 episodes were observed. The ANOVA test was used to identify any significant differences among the mean scores of the three devices. Results: Overall observed adherence rates were 18.3%, 59.1%, and 43.1% for central line catheters, indwelling urinary catheter, and mechanical ventilator, respectively. Of the observed episodes of device care, only in 9.4% of the episodes was regular oral care performed for patients on mechanical ventilators and only in 19.3% of the episodes were indwelling urinary catheters properly secure after insertion. More so, in none (0.0%) of the episodes was the central line catheter hub disinfected before being accessed. Conclusions: Evidence-based post-insertion recommended care practices were not consistently and uniformly implemented in the intensive care units. Establishment of a program for the surveillance of adherence to recommended guidelines is required for improving compliance by health professionals and the quality of preventive care.
机译：患者在接受护理时会获得与医疗保健相关的感染（HAIs）。重症监护病房入院记录的HAIs发生率最高。坚持循证实践是预防HAI的最重要步骤。目的：确定以下设备进入重症监护病房后，对插入证据后推荐的护理实践的依从率：中线导管，留置导尿管和机械呼吸机。患者与方法：采用结构化的观察性横断面研究设计。使用清单和自我报告调查表收集数据。该研究所需的最小样本量为276次插入后护理发作，并观察到332次发作。 ANOVA测试用于确定这三种设备的平均得分之间的任何显着差异。结果：中线导管，留置导尿管和机械呼吸机的总体观察依从率分别为18.3％，59.1％和43.1％。在观察到的器械护理发作中，只有9.4％的发作是对使用机械呼吸机的患者进行的定期口腔护理，只有19.3％的发作是在插入后正确固定了留置导尿管。更重要的是，在发作之前，没有任何一例（0.0％）的中心线导管座被消毒。结论：在重症监护室中，基于证据的插入后推荐的护理实践并未得到统一和统一的实施。为了提高卫生专业人员的依从性和预防保健的质量，需要建立监督遵守推荐指南的计划。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号