ارزیابی وضعیت آگاهی مراقبت بسته ای در پیشگیری از عفونت های ناشی از کاتتر های ادراری پرستاران شاغل در بخش های مراقبت ویژه در بیمارستان های تابعه دانشگاه علوم پزشکی گیلان در سال 1402
کد: G-1055
نویسندگان: Mandana Javanak © ℗, Zahra Gheydari, Tahereh Khalkhali, Marzieh Jafarzadeh, Masumeh Bagheri Koodakani, Roghayeh Aghebati, Parisa Ramezannezhad
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خلاصه مقاله:
خلاصه مقاله
Catheter-associated Urinary Tract Infection (CAUTI) is the most common HAI, accounting for 40% of all nosocomial infections and the second most common cause of nosocomial septicemia.65-70% of CAUTIs are preventable and nurses play a significant role in its prevention. The aim of the present study was evaluating the knowledge of ICU nurses in medical centers affiliated to Guilan University of Medical Sciences regarding bundled care in preventing CAUTI.A descriptive-cross-sectional study was conducted in medical centers affiliated to GUMS in 2023. The tool of the current study was a researcher-made questionnaire derived from the studies conducted regarding bundled care in the prevention of Catheter-associated Urinary Tract Infection, which was provided to the nurses through the link. The research population consisted of all nurses working in the ICUs of 25 medical centers , who had at least six months of work experience and were willing to participate in the study (N=803). For analyzing the data SPSS Ver17 software and independent t-test and Pearson and Spearman correlation coefficient were used. Out of a total of 434 nurses participating in the study, 86.6% were female with an average age of 35.4 ± 7.4. 42.4% of nurses working in ICUs rated their overall performance in terms of compliance with the principles of bundled care in preventing and controlling infection caused by urinary catheter as favorable, 52.8% as relatively favorable, 3.9% as relatively unfavorable, and 0.9% as unfavorable. The results of the present study showed that 75.5% of the participants answered "correct", 21.65% answered "wrong" and 2.85% answered "I don’t know" to the questions. Therefore, the level of the knowledge of ICU nurses were evaluated as desirable. Also, the lowest level of awareness were reported regarding to the care of urine bag (11.8%) and perineal care (23.3%). There was no significant relationship between age, gender, type of public or private center and work experience with the level of awareness(p0.001). Using the principles of Bundled Care and considering standard checklists to measure the level of compliance with these principles as targeted educational efforts are low-cost and high-efficiency solutions that may reduce CAUTI in intensive care units.
کلمات کلیدی
Bundled Care, Catheter-associated Urinary Tract Infection (CAUTI), Nurses
