Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Effect of the Central Venous Catheter Care Bundle on Intensive Care Unit Infection Level: Prospective Control Group Cohort Study
Santral Venöz Kateter Bakım Paketinin Yoğun Bakım Ünitesi Enfeksiyon Düzeyine Etkisi: Prospektif Kontrol Gruplu Kohort Çalışması
Esra ÖZKANa , Nurşen KULAKAÇb , Reyhan İNCE KASAPc
aGiresun University Faculty of Health Sciences, Department of Nursing, Department of Surgical Diseases Nursing, Giresun, Türkiye
bGümüşhane University Faculty of Health Sciences, Department of Nursing, Surgical Diseases Nursing, Gümüşhane, Türkiye
cBulancak State Hospital, Head of Care Service, Giresun, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(3):685-92
doi: 10.5336/nurses.2024-107005
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aims to determine the effectiveness of a care bundle in preventing central venous catheter-associated bloodstream infections in patients treated in the intensive care unit. Material and Methods: A prospective control group cohort study design. Using 105 patients treated in the intensive care unit (ICU)of a state hospital located in northern Türkiye. Following the training provided to physicians and nurses working in the ICU regarding the care bundle, the intervention was implemented on the patients for 1 year, and daily follow-ups were conducted to monitor the development of catheter infections. Data were collected using patient information form and central venous catheter care bundle data. Results: No significant difference was found between the descriptive characteristics of the experimental and control group patients. Throughout the study period, 5 patients in the control group and only 1 patient in the experimental group developed a central venous catheter-associated bloodstream infection. A decrease in the rate of central venous catheter-associated bloodstream infection was identified in the experimental group (p<0.001). Conclusion: The implementation of the care package approach was found to be highly effective in preventing central venous catheter-associated bloodstream infections, so should be adopted as a routine protocol in patients hospitalized in the ICU with a catheter indication.

Keywords: Care bundle; nurse; central venous catheter; bacterial infections
ÖZET
 Amaç: Bu çalışmanın amacı, yoğun bakım ünitesinde tedavi edilen hastalarda santral venöz kateter ilişkili kan dolaşımı enfeksiyonlarını önlemede bakım paketinin etkinliğini belirlemektir. Gereç ve Yöntemler: Türkiye'nin kuzeyinde yer alan bir devlet hastanesinin yoğun bakım ünitesinde tedavi gören 105 hasta kullanılarak prospektif kontrol gruplu kohort çalışması tasarlanmıştır. Yoğun bakım ünitesinde çalışan hekim ve hemşirelere bakım demeti ile ilgili verilen eğitimin ardından, hastalara 1 yıl boyunca müdahale uygulanmış ve kateter enfeksiyonlarının gelişimini izlemek için günlük takipler yapılmıştır. Veriler hasta tanıtım formu ve santral venöz kateter bakım paketi verileri kullanılarak toplanmıştır. Bulgular: Deney ve kontrol grubu hastaların tanımlayıcı özellikleri arasında anlamlı farklılık bulunmadı. Çalışma süresi boyunca kontrol grubunda 5 hastada, deney grubunda ise sadece 1 hastada santral venöz kateter ilişkili kan dolaşımı enfeksiyonu gelişti. Deney grubunda santral venöz kateter ilişkili kan dolaşımı enfeksiyonu oranında azalma tespit edildi (p<0,001). Sonuç: Bakım paketi yaklaşımının uygulanması santral venöz kateter ilişkili kan dolaşımı enfeksiyonlarını önlemede oldukça etkili bulunmuştur, bu nedenle yoğun bakım ünitesinde kateter endikasyonu ile yatan hastalarda rutin bir protokol olarak benimsenmelidir.

Anahtar Kelimeler: Bakım paketi; hemşire; santral venöz katater; bakteriyel enfeksiyonlar
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