| Abstract [eng] |
Kravčenko Tatjana Role of the norse in prevention of Catheter-Related infections in Intesive Care Unit. Final Master‘s paper on the speciality of Nursing Supervisor: doc. Baublys A. Vilnius University, Faculty of Medicine Institute of Rehabilitation, Sports Medicine and Nursing Central venous catheters (CVCs) are widely used in critically ill patients and is one of the source for sepsis development in Intensive Care Units. The aim of this study was to evaluate the rate of catheter-related sepsis in ICU, the influence of catheter insertion site, insertion procedure, duration and infusion components for the development of sepsis. We investigate the patients with central venous catheters treated more than three days in ICU. We prepared the questionnaire for nurses about CVCs care and their theoretical and practical skills additionally. Research showed, that occurrence of catheter infection in ICU of Vilnius University Hospital Santariskiu Klinikos was 16.9%, the occurrence of bacteremia related to CVCs was 8.4%. Generally the observed rate of CVCs related infection - 25.3%. Analyzing the data we determine, that duration of CVC influence the rate of infection. Shorter duration - less risk for the development of catheter-related infection. No dependence was found between CVCs infection rate and catheter insertion site, infusion components. Supposedly, it associated with the use of new technologies and good organised, qualitative nurse work. The results of the research revealed that the role of the nurse in prevention of Catheter-Related infections in Intesive Care Unit is very impotant. The nurses are responsible for a safe and effective feeding of patient; they ensure high-quality nursing. Questionnaire showed, that senior nurses (objectively and subjectively) had lack of knowledges. The skill of work most of the nurses meet the up-to-date requirements. There was noticed a lot of documents related to CVC care too, which encumber search of information, control of infection, continuity and succession of care. The hypothesis raised in this thesis was proved to be true. |
