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

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• 作者：Hatice Kaya ; PhD^a ; ^{haticeka@istanbul.edu.tr" class="auth_mail" title="E-mail the corresponding author} ; Yü ; ksel Turan ; BSN^b ; ¹ ; ^{ybturan34@yahoo.com" class="auth_mail" title="E-mail the corresponding author} ; Sade Akbal ; BSN^b ; ¹ ; ^{melisa-akbal@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Keziban Tosun ; BSN^c ; ¹ ; ^{keztos@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Esra Aksoy ; BSN^b ; ¹ ; ^{esraaksoy99@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Yusuf Tunalı ; MD^b ; ² ; ^{ytunali@istanbul.edu.tr" class="auth_mail" title="E-mail the corresponding author} ; Gü ; lsü ; n Ö ; zdemir Aydın ; BSN^a ; ³ ; ^{gulsunoz@istanbul.edu.tr" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Central venous catheters ; Infection ; Nursing care ; Protocols
• 刊名：Applied Nursing Research
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：32
• 期：Complete
• 页码：257-261
• 全文大小：233 K

文摘

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.