Current situation of knowledge,attitude and practice of clinical nurses in prevention of hemodialysis catheter-related bloodstream infection and influencing factors
OBJECTIVE To investigate the current situation of knowledge,belief and practice of clinical nurses in preventing hemodialysis catheter-related bloodstream infection,and to analyze its influencing factors,so as to de-velop targeted and personalized training programs to reduce the incidence of hemodialysis catheter-related blood-stream infection in patients.METHODS In Sep 2022,414 clinical nurses engaged in blood purification work in 33 hospitals in Shenzhen were selected by convenience sampling method.A self-designed questionnaire of knowledge,attitude and practice was used to investigate the current situation of knowledge,attitude and practice in preventing hemodialysis catheter-related bloodstream infection.Multiple linear stepwise regression analysis was used to ana-lyze the influencing factors,and the relationship between hemodialysis catheter-related bloodstream infection and nurses'knowledge,attitude and practice was explored.RESULTS The total score of 414 clinical nurses engaged in blood purification was(128.50±14.44)points in the"knowledge,attitude and practice questionnaire on the pre-vention of hemodialysis catheter-related bloodstream infection".Among them,the average score of knowledge di-mension,attitude dimension and practice dimension were(7.42±1.20)points,(46.25±8.54)points and(74.82±8.33)points.Multiple linear stepwise regression analysis showed that professional title,working years and wheth-er they were hemodialysis specialist nurses were the main influencing factors of knowledge dimension score(P＜0.05).Educational background was the main factor affecting the attitude dimension(P＜0.05),while there was no statistical difference in the behavioral dimension.CONCLUSION Clinical nurses engaged in blood purification work have a good level of knowledge,attitude and practice in preventing hemodialysis catheter-related bloodstream infection.Among them,the scores of attitude and behavior of preventing hemodialysis catheter-associated blood-stream infections are high,but the knowledge score is low.Managers should pay more attention and strengthen the study and training on the theoretical knowledge of preventing hemodialysis catheter-related bloodstream infec-tion,so as to improve nurses'awareness of preventing infection and reduce the incidence of hemodialysis catheter-related bloodstream infection in patients.
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