背景:导管相关性尿路感染是一个全球性问题,但可以通过适当实施循证指南来预防。进行这项研究是为了评估插入导尿管期间医护人员对导管相关尿路感染预防指南的依从性。
方法:在萨那市医院进行了一项采用描述性横断面设计的观察性研究,也门。政府所有的护士和医生,教学,私立医院有资格参与这项研究。数据收集是通过2020年3月至2020年12月的便利抽样进行的,使用专门为此研究准备的结构化观察清单。
结果:大多数导尿管插入是由护士进行的。大多数医院没有插入导尿管的书面政策或程序,也没有在职教育或培训部门。依从性的总体平均得分为10分的7.31分。大约71%的医护人员具有较高或可接受的依从性水平,而29%的医护人员具有不安全的依从性水平。在整个插入过程中保持无菌技术的依从性很低,使用一包一次性的润滑剂果冻,插入前立即进行手部卫生,并在插入后固定导尿管。影响医护人员依从性的因素是性别,医护人员的工作病房/单位,书面政策/程序和在职教育部门或单位的可用性。
结论:也门医护人员的总体依从性是可以接受的,但在一些关键措施中是不安全的。迫切需要发展,实施,并监测预防导尿管相关尿路感染的国家指南和机构政策和程序。定期的在职教育和培训计划以及充分获得必要的材料和用品至关重要。
Catheter-associated urinary tract infection is a global problem but it can be prevented with the appropriate implementation of evidence-based
guidelines. This study was conducted to assess the level of compliance of healthcare workers with the catheter-associated urinary tract infection prevention
guidelines during the insertion of a urinary catheter.
An observational study using a descriptive cross-sectional design was conducted at Sana\'a City hospitals, Yemen. All the nurses and physicians from the governmental, teaching, and private hospitals were eligible to participate in the study. The data collection was performed through convenience sampling from March 2020 to December 2020, using a structured observational checklist prepared specifically for this study.
The majority of the urinary catheter insertions were performed by nurses. There were no written policy or procedures for an urinary catheter insertion and no in-service education or training departments in the majority of the hospitals. The overall mean score of compliance was 7.31 of 10. About 71% of the healthcare workers had a high or acceptable level of compliance and 29% had an unsafe level of compliance. Compliance was low for maintaining aseptic technique throughout the insertion procedure, using a single use packet of lubricant jelly, performing hand hygiene immediately before insertion, and securing the urinary catheter once inserted. Factors affecting the healthcare workers compliance were gender, the working ward/unit of the healthcare workers, the availability of a written policy/procedure and a department or unit for in-service education.
Yemeni healthcare workers\' overall compliance was acceptable but it was unsafe in several critical measures. There is an urgent need for developing, implementing, and monitoring national
guidelines and institutional policy and procedures for catheter-associated urinary tract infection prevention. Periodical in-service education and training programs and adequate access to the necessary materials and supplies are paramount.