2014年—2018年10种护理科技核心期刊防控导管相关性感染护理相关研究的文献分析
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摘要
目的了解近年来临床护理工作中关于导管相关性感染(catheter-related infection,CRI)开展的研究及趋势,为促进今后相关领域的研究提供参考和借鉴。方法选择中国知网中国期刊全文数据库、万方数据库,以"导管相关血流感染"或"呼吸机相关性肺炎"或"导尿管相关性尿路感染"为检索词,检索国内10本护理科技核心期刊(统计源期刊)近5年收录的相关文献,并进行统计分析。结果共纳入216篇文献,发文数量并未逐年增长。研究对象以呼吸机相关性肺炎最多,占71.3%。仅有36.5%的研究诊断标准准确。研究类型以试验性研究最多,共109篇。研究内容集中于最佳实践干预研究,共149篇。数据收集方法以主动监测/筛查最多,共113篇。结论目前护理领域对CRI防控研究的关注度不够,已有研究尚缺乏严谨的设计,较少有高质量、高证据级别的护理相关CRI防控研究,在研究数量及研究质量方面都需要进一步提高。
Objective To explore the current status of nursing researches about catheter-related infections in recent 5 years in China, and provide reference for further research. Methods The China National Knowledge Infrastructure database and Wangfang database were selected to search for literature about catheter-related infections published in recent 5 years in 10 nursing journals of Statistic Source, with the terms of "catheter-related bloodstream infection" or "ventilator-associated pneumonia" or "catheter-related urinary tract infection". Statistical analysis was conducted. Results A total of 216 papers were included. The number of papers was not increased year by year. In terms of the object of study, the studies on ventilator-associated pneumonia were the most, accounting for 71.3%. Only 36.5% of the studies had accurate diagnostic criteria. In terms of the type of study, experimental studies were the most(109 articles).The content was concentrated on the best practice intervention studies(149 articles). The data collection methods gave priority to active surveillance/screening, including 113 articles. Conclusions The present focused attention is not enough to the researches about catheter-related infections in nursing field, and rigorous design is lacking in published studies.There are only a few nursing studies about catheter-related infections with high quality and high level of evidence. The quantity and quality of nursing researches about catheter-related infections still need to be improved. Nurses should pay more attention to the control and prevention of catheter-related infections, and should improve their research capacity.
Objective To explore the current status of nursing researches about catheter-related infections in recent 5 years in China, and provide reference for further research. Methods The China National Knowledge Infrastructure database and Wangfang database were selected to search for literature about catheter-related infections published in recent 5 years in 10 nursing journals of Statistic Source, with the terms of "catheter-related bloodstream infection" or "ventilator-associated pneumonia" or "catheter-related urinary tract infection". Statistical analysis was conducted. Results A total of 216 papers were included. The number of papers was not increased year by year. In terms of the object of study, the studies on ventilator-associated pneumonia were the most, accounting for 71.3%. Only 36.5% of the studies had accurate diagnostic criteria. In terms of the type of study, experimental studies were the most(109 articles).The content was concentrated on the best practice intervention studies(149 articles). The data collection methods gave priority to active surveillance/screening, including 113 articles. Conclusions The present focused attention is not enough to the researches about catheter-related infections in nursing field, and rigorous design is lacking in published studies.There are only a few nursing studies about catheter-related infections with high quality and high level of evidence. The quantity and quality of nursing researches about catheter-related infections still need to be improved. Nurses should pay more attention to the control and prevention of catheter-related infections, and should improve their research capacity.
引文
1Marschall J, Mermel LA, Fakih M, et al. Strategies to prevent central line-associated bloodstream infections in acute care hospitals:2014 update. Infect Control Hosp Epidemiol, 2014,35 (Suppl 2):S89-S107.
2Umscheid CA, Mitchell MD, Doshi, T A, et al. Estimating the proportion of healthcare-associated infections that are reasonably preventable and the associated mortality and costs. Infect Control Hosp Epidemiol, 2011, 32(2):101-114.
3APIC inplementation guide. Guide to preventing central lineassociated bloodstream infections.[2019-02-22]. http://apic.org/Resource_/TinyMceFileManager/2015/APIC_CLABSI_WEB.pdf.
4Kahn KL, Mendel P, Weinberg DA, et al. Approach for conducting the longitudinal program evaluation of the US Department of Health and Human Services National Action Plan to prevent healthcare-associated infections:roadmap to elimination. Med Care, 2014, 52(2 Suppl 1):S9-S16.
5中华人民共和国卫生部.导管相关血流感染预防与控制技术指南(试行).(2010-11-29)[2019-02-22]. http://www.moh.gov.cn/mohyzs/s3594/201012/50039.shtml.
6中华人民共和国国家卫生健康委员会.导管相关尿路感染预防与控制技术指南(试行).(2010-11-29)[2019-02-22]. http://www.moh.gov.cn/mohyzs/s3594/201012/50039.shtml.
7中华人民共和国国家卫生健康委员会.医院感染管理质量控制指标(2015年版).(2015-03-31)[2019-02-22]. http://www.nhc.gov.cn/ewebeditor/uploadfile/2015/04/20150415094217171.pdf.
8中华人民共和国国家卫生健康委员会.重症医学专业医疗质量控制指标(2015年版).(2015-03-31)[2019-02-22]. http://www.nhc.gov.cn/ewebeditor/uploadfile/2015/04/20150415094053505.pdf.
9 中华人民共和国国家卫生健康委员会.关于印发医院感染诊断标准(试行)的通知(卫医发[2001] 2号).(2001-01-02)[2019-02-22 ]. http://www.nhc.gov.cn/yzygj/s3593/200804/e19e4448378643a09913ccf2a055c79d.shtml.
10Centers for Disease Control and Prevention. Bloodstream infection event(central line-associated bloodstream infecton and noncentral line-associated bloodstream infection).(2019-01-01)[2019-02 -22]. http://www.cdc.gov/nhsn/pdfs/pscmanual/4psc_clabscurrent.pdf.
11Klompas M, Branson R, Eichenwald EC, et al. Strategies to prevent ventilator-associated pneumonia in acute care hospitals:2014update. Infect Control Hosp Epidemiol, 2014, 35(8):915-936.
2Umscheid CA, Mitchell MD, Doshi, T A, et al. Estimating the proportion of healthcare-associated infections that are reasonably preventable and the associated mortality and costs. Infect Control Hosp Epidemiol, 2011, 32(2):101-114.
3APIC inplementation guide. Guide to preventing central lineassociated bloodstream infections.[2019-02-22]. http://apic.org/Resource_/TinyMceFileManager/2015/APIC_CLABSI_WEB.pdf.
4Kahn KL, Mendel P, Weinberg DA, et al. Approach for conducting the longitudinal program evaluation of the US Department of Health and Human Services National Action Plan to prevent healthcare-associated infections:roadmap to elimination. Med Care, 2014, 52(2 Suppl 1):S9-S16.
5中华人民共和国卫生部.导管相关血流感染预防与控制技术指南(试行).(2010-11-29)[2019-02-22]. http://www.moh.gov.cn/mohyzs/s3594/201012/50039.shtml.
6中华人民共和国国家卫生健康委员会.导管相关尿路感染预防与控制技术指南(试行).(2010-11-29)[2019-02-22]. http://www.moh.gov.cn/mohyzs/s3594/201012/50039.shtml.
7中华人民共和国国家卫生健康委员会.医院感染管理质量控制指标(2015年版).(2015-03-31)[2019-02-22]. http://www.nhc.gov.cn/ewebeditor/uploadfile/2015/04/20150415094217171.pdf.
8中华人民共和国国家卫生健康委员会.重症医学专业医疗质量控制指标(2015年版).(2015-03-31)[2019-02-22]. http://www.nhc.gov.cn/ewebeditor/uploadfile/2015/04/20150415094053505.pdf.
9 中华人民共和国国家卫生健康委员会.关于印发医院感染诊断标准(试行)的通知(卫医发[2001] 2号).(2001-01-02)[2019-02-22 ]. http://www.nhc.gov.cn/yzygj/s3593/200804/e19e4448378643a09913ccf2a055c79d.shtml.
10Centers for Disease Control and Prevention. Bloodstream infection event(central line-associated bloodstream infecton and noncentral line-associated bloodstream infection).(2019-01-01)[2019-02 -22]. http://www.cdc.gov/nhsn/pdfs/pscmanual/4psc_clabscurrent.pdf.
11Klompas M, Branson R, Eichenwald EC, et al. Strategies to prevent ventilator-associated pneumonia in acute care hospitals:2014update. Infect Control Hosp Epidemiol, 2014, 35(8):915-936.