The effect of nursing care protocol on the prevention of central venous catheter-related infections in neurosurgery intensive care unit

被引：4

作者：

Kaya, Hatice ^{[1
]}

Turan, Yuksel ^{[2
]}

Akbal, Sade ^{[2
]}

Tosun, Keziban ^{[3
]}

Aksoy, Esra ^{[2
]}

Tunali, Yusuf ^{[2
]}

Aydin, Gulsun Ozdemir ^{[1
]}

机构：

[1] Istanbul Univ, Florence Nightingale Fac Nursing, Dept Fundamentals Nursing, TR-34381 Istanbul, Turkey

[2] Istanbul Univ, Cerrahpasa Med Fac Hosp, Neurosurg Intens Care Unit, TR-34098 Istanbul, Turkey

[3] Istanbul Univ, Cerrahpasa Med Fac Hosp, Dept Neurosurg, TR-34098 Istanbul, Turkey

来源：

APPLIED NURSING RESEARCH | 2016年 / 32卷

关键词：

Central venous catheters; Infection; Nursing care; Protocols; BLOOD-STREAM INFECTIONS; CONSORTIUM INICC REPORT;

D O I：

10.1016/j.apnr.2016.08.006

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Purpose: This clinical study was planned to determine the effect of Nursing Care Protocol on the prevention of central venous catheter-related infections in neurosurgery intensive care unit Method: The study was conducted between January 2012 and December 2013. The sampling consisted of 160 patients compatible with study inclusion criteria (80 protocol and 80 control patients). Routine care was applied to the control group while the protocol group received catheter care according to the protocol formed in accordance with the suggestions of the Centers for Disease Control and Prevention. The data were collected from Patient Information Form, Follow-Up Form, and APACHE II scores. Results: A significant difference existed between the two groups in terms of mean APACHE II scores on discharge (p < 0.05) whereas no significant difference in terms of mean fever, number of leucocytes and lymphocytes, C-reactive protein, and days of catheter carriage (p < 0.05). Hemoculture positivity was less in protocol group, and this difference was statistically significant (p < 0.05). Conclusion: The suggested nursing care protocol is significantly efficacious in the prevention of CVC-related infections. Training of healthcare workers on using this protocol is recommended. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：257 / 261

页数：5

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