医院预防CVC相关血流感染导管置入措施依从性影响因素

Factors Influencing Compliance With Catheterization Measures for Preventing CVC Related Bloodstream Infections in Hospitals

目的探讨医院医护人员预防中心静脉置管(central venous catheterization,CVC)相关性血流感染导管置入重点措施依从性影响因素。方法选取永州市第三人民医院2020年1月—2023年3月有CVC置入操作经验的30名医护人员,对所有医护人员进行基本情况调查,并使用自制医护人员预防CVC相关性血流感染导管置入重点措施依从性调查问卷评估医护人员依从性,分析影响医务人员依从性的因素。结果单因素分析显示,不同年龄、性别、职业、置管时间非医护人员依从性调查问卷评分的影响因素(P>0.05);每月CVC置管数量、CVC置管培训参与情况是医护人员依从性调查问卷评分的影响因素(P<0.05)。30例医务人员整体依从性调查问卷评分为(89.95±10.01)分,依从性优秀、良好、一般、差占比分别为76.67%、13.33%、6.67%、3.33%。多因素分析显示,每月CVC置管数量(≥5~19次、≥20次)、CVC置管培训参加情况是医护人员依从性的影响因素。结论医护人员整体依从性良好,但要重视其CVC置管培训,并注意监测CVC置管操作过程,同时要合理调配医务人员工作量,从而使医护人员依从性保持在较高水平。

Objective To study the compliance factors of key measures for preventing central venous catheterization(CVC)related bloodstream infections among medical staff.Methods A total of 30 medical staff members with experience in CVC implantation of the Third People's Hospital of Yongzhou City from January 2020 to March 2023 were collected.A basic survey was conducted on all medical staff members,and a compliance survey questionnaire was used to evaluate the compliance of medical staff members on key measures for preventing CVC related bloodstream infection catheter implantation.Factors affecting medical staff compliance were analyzed.Results Univariate analysis showed that the influencing factors of non medical staff compliance survey questionnaire scores were different age,gender,occupation,and placement time(P>0.05),and the monthly number of CVC placement and participation in CVC placement training were the influencing factors of medical staff compliance survey questionnaire scores(P<0.05).The overall compliance questionnaire score of 30 medical personnel was(89.95±10.01)points,with excellent,good,average,and poor compliance accounting for 76.67%,13.33%,6.67%,and 3.33%,respectively.Multivariate analysis shows that the number of CVC catheterization per month(≥5-19 times,≥20 times)and the participation in CVC catheterization training are the influencing factors on the compliance of medical staff.Conclusion The overall compliance of medical staff is good,but it is necessary to pay attention to their CVC catheterization training,monitor the CVC catheterization operation process,and reasonably allocate the workload of medical staff to maintain a high level of compliance.