umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Andelen dokumenterade bedömningar av CVK-instick samt samband mellan rodnad eller var vid CVK-instick och parenteral nutrition
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Syfte: Att beskriva andelen dokumenterade bedömningar av instick av central venkateter samt att studera samband mellan rodnad eller var vid instick av central venkateter och parenteral nutrition.

Bakgrund: Rodnad eller var vid instick av central venkateter kan vara ett första tecken på infektion som i sin tur kan leda till central venkateter-relaterad infektion. Parenteral nutrition har visats vara en signifikant riskfaktor för utvecklande av central venkateter-relaterad infektion varför det vore intressant att undersöka om parenteral nutrition medför ökad risk för rodnad eller var vid instick av central venkateter.

Design: Kvantitativ retrospektiv registerstudie.

Metod: Data från perioden 2016-09-01 till 2017-06-06 ingick i studentarbetet. Variabler som analyserades var: ålder, kön, vårdtid, antalet bedömningar av instick av central venkateter, rodnad eller var vid instick av central venkateter, parenteral nutrition, högsta uppmätta temperatur samt högsta uppmätta C-reaktivt protein.

Resultat: Andelen dokumenterade bedömningar av instick av central venkateter hos deltagarna (n = 307) var 25 % av förväntade antalet. Ett Chi-två-test visade signifikant samband mellan rodnad eller var vid instick av central venkateter och erhållen parenteral nutrition, X2 (1, n = 232) = 0,32, p < 0,001, phi = 0,32.

Slutsats: Bedömningen av instick av central venkateter var dokumenterat i liten utsträckning. Patienter som erhöll parenteral nutrition hade ökad risk för rodnad eller var vid instick av central venkateter. Därför bör sjuksköterskan vara extra observant på infektionstecken genom att regelbundet bedöma och dokumentera instick av central venkateter samt vara noggrann med skötsel av denna när patienten erhåller parenteral nutrition.

Abstract [en]

Aim: To describe the proportion of documented assessments of central venous catheterexit site and to study correlations between blushing or pus at central venous catheter exitsite and parenteral nutrition.Background: Blushing or pus at central venous catheter exit site can be a first sign ofinfection that can lead to central venous catheter-related infection. Parenteral nutrition hasshown to be a significant risk factor for development of central venous catheter-relatedinfection and therefore it would be of interest to investigate if parenteral nutrition is a riskfactor for developing blushing or pus at central venous catheter exit site.Design: Quantitative retrospective register study.Results: The proportion of documented assessments of central venous catheter exit site inthe sample (n = 307) was 25 % of the expected. A Chi-two-test showed significantcorrelation between blushing or pus at central venous catheter exit site and parenteralnutrition, X2 (1, n = 232) = 0,32, p < 0,001, phi = 0,32.Conclusion: Assessment of central venous catheter exit site was documented to a smallextent. Patients receiving parenteral nutrition had an increased risk for developingblushing or pus at central venous catheter exit site. Therefore the nurse should be extraobservant for signs of infection by regularly assessing and documenting central venouscatheter exit site and should be careful with maintenance of central venous catheter whenthe patient receives parenteral nutrition.

Place, publisher, year, edition, pages
2018.
Keywords [en]
Intensive care nurse, intensive care, nursing, CVC, CVC exit site, CVCrelated infection, assessment, documentation, parenteral nutrition.
Keywords [sv]
Intensivvårdssjuksköterska, intensivvård, omvårdnad, CVK, CVK-instick, CVK-relaterad infektion, bedömning, dokumentation, parenteral nutrition.
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-144434OAI: oai:DiVA.org:umu-144434DiVA, id: diva2:1179807
Subject / course
Magisterkurs i omvårdnad
Educational program
Graduate Programme in Intensive Care Nursing
Presentation
2018-01-11, Umeå, 11:55 (Swedish)
Supervisors
Examiners
Available from: 2018-02-20 Created: 2018-02-02 Last updated: 2018-02-20Bibliographically approved

Open Access in DiVA

No full text in DiVA

By organisation
Department of Nursing
Nursing

Search outside of DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric score

urn-nbn
Total: 37 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf