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Revista de Enfermagem Referência
Print version ISSN 0874-0283On-line version ISSN 2182-2883
Abstract
PEDREIRO, Telma Patrícia Machado and MARTINS, Matilde Delmina da Silva. Quality index of nursing care provided to patients with central venous catheters undergoing hemodialysis. Rev. Enf. Ref. [online]. 2022, vol.serVI, n.1, e22002. Epub Nov 22, 2022. ISSN 0874-0283. https://doi.org/10.12707/rvi22002.
Background:
Infection is the second cause of mortality among patients with renal failure. The development of infections is often associated with the contamination of vascular access.
Objectives:
To analyze the Quality Index (QI) of nursing procedures related to central venous catheter (CVC) handling and maintenance in patients undergoing hemodialysis and the associated factors.
Methodology:
Cross-sectional analytical study conducted with a sample of 50 nurses in hemodialysis units in northern Portugal between June and September 2019. Nurses were directly observed and completed a questionnaire for socio-professional characterization. Data were entered into and analyzed using IBM SPSS Statistics, version 21.0.
Results:
The mean QI for CVC-related procedures was 80%. The use of chlorhexidine for skin antisepsis had the lowest compliance rate.
Conclusion:
There is an opportunity to improve the QI of CVC-related procedures for hemodialysis. Professional training was considered a predictor of best practices.
Keywords : catheterization, central venous; nursing care; nosocomial infection; hemodialysis.
