{"id":26454,"date":"2024-11-04T16:12:00","date_gmt":"2024-11-04T15:12:00","guid":{"rendered":"https:\/\/idibell.cat\/?p=26454"},"modified":"2024-11-04T16:12:00","modified_gmt":"2024-11-04T15:12:00","slug":"establir-una-cobertura-infermera-segura-pot-evitar-complicacions-amb-el-cateter-venos-periferic-segons-dues-noves-publicacions-del-grin-idibell","status":"publish","type":"post","link":"https:\/\/idibell.cat\/2024\/11\/establir-una-cobertura-infermera-segura-pot-evitar-complicacions-amb-el-cateter-venos-periferic-segons-dues-noves-publicacions-del-grin-idibell\/","title":{"rendered":"Establir una cobertura infermera segura pot evitar complicacions amb el cat\u00e8ter ven\u00f3s perif\u00e8ric, segons dues noves publicacions del GRIN-IDIBELL"},"content":{"rendered":"<p><span data-contrast=\"none\">Un 94% dels pacients atesos a l&#8217;hospital requereixen la inserci\u00f3 d&#8217;un cat\u00e8ter ven\u00f3s perif\u00e8ric. Aquests dispositius s\u00f3n necessaris per a l&#8217;administraci\u00f3 de medicaci\u00f3 endovenosa, per\u00f2 no estan exempts de complicacions. El primer estudi, <\/span><a href=\"https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0303152\"><span data-contrast=\"none\">publicat a la revista Plos One<\/span><\/a><span data-contrast=\"none\">, evidencia que pr\u00e0cticament un 6% dels pacients hospitalitzats presenten complicacions relacionades amb el cat\u00e8ter ven\u00f3s perif\u00e8ric, sent les m\u00e9s freq\u00fcents la flebitis i l&#8217;extravasaci\u00f3.<\/span><\/p>\n<p><span data-contrast=\"none\">Entre els factors que s&#8217;associen a major incid\u00e8ncia de complicacions destaca la cobertura infermera, que indica la relaci\u00f3 d&#8217;hores d&#8217;infermera proporcionades en funci\u00f3 de les hores requerides per pacient. Tamb\u00e9 s\u2019hi associen caracter\u00edstiques dels pacients com el g\u00e8nere femen\u00ed, els dies de cat\u00e8ter, la inestabilitat hemodin\u00e0mica, el dolor incontrolat, els trastorns de la comunicaci\u00f3, l\u2019alt risc d&#8217;hemorr\u00e0gia, els trastorns del nivell de la consci\u00e8ncia o la falta de cuidador, tots ells factors de risc de patir una complicaci\u00f3 relacionada amb el cat\u00e8ter.<\/span><\/p>\n<p><span data-contrast=\"none\">D&#8217;altra banda, el segon estudi, que s\u2019ha realitzat amb pacients atesos a Urg\u00e8ncies, mostra una prevalen\u00e7a de complicacions relacionades amb el cat\u00e8ter ven\u00f3s perif\u00e8ric propera a l&#8217;1%. Els resultats publicats a la <\/span><a href=\"https:\/\/bmjopen.bmj.com\/content\/14\/10\/e090101?rss=1\"><span data-contrast=\"none\">revista BMJ Open<\/span><\/a><span data-contrast=\"none\"> mostren que els factors associats a complicacions s\u00f3n la incontin\u00e8ncia, la inestabilitat hemodin\u00e0mica, la infecci\u00f3 transmissible, la fragilitat vascular, l&#8217;ansietat\/temor, el deteriorament de l&#8217;adaptaci\u00f3, els trastorns del nivell de consci\u00e8ncia, la falta de cuidador i l&#8217;agitaci\u00f3.\u202f<\/span><\/p>\n<p><span data-contrast=\"none\">Ambd\u00f3s estudis evidencien que el major nombre de factors de complexitat de cures i la cobertura infermera s&#8217;associen a complicacions relacionades amb el cat\u00e8ter ven\u00f3s perif\u00e8ric. Per tant, aquests estudis conclouen la necessitat d&#8217;identificar preco\u00e7ment els pacients amb risc de patir complicacions i les necessitats d&#8217;establir cobertures infermeres segures en l&#8217;\u00e0mbit hospitalari per tal d&#8217;establir millores en el maneig dels pacients amb major risc.\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Sobre el GRIN-IDIBELL<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">El Grup de Recerca Infermera GRIN-IDIBELL focalitza la seva recerca en aspectes \u00e8tics i socials de la infermeria, i en la gesti\u00f3 de cures i de resultats sensibles en la pr\u00e0ctica infermera. S\u2019interessa per la innovaci\u00f3 tecnol\u00f2gica en salut, en noves aplicacions terap\u00e8utiques, sistemes d\u2019informaci\u00f3 i intel\u00b7lig\u00e8ncia artificial. A m\u00e9s, de la promoci\u00f3a la salut i la prestaci\u00f3 de cures a poblacions vulnerables.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><em>L\u2019Institut d\u2019Investigaci\u00f3 Biom\u00e8dica de Bellvitge (IDIBELL) \u00e9s un centre de recerca en biomedicina creat l\u2019any 2004. Est\u00e0 participat per l\u2019Hospital Universitari de Bellvitge i l\u2019Hospital de Viladecans de l\u2019Institut Catal\u00e0 de la Salut, l\u2019Institut Catal\u00e0 d\u2019Oncologia, la Universitat de Barcelona i l\u2019Ajuntament de l\u2019Hospitalet de Llobregat.<\/em><\/p>\n<p><em>L\u2019IDIBELL \u00e9s membre del Campus d\u2019Excel\u00b7l\u00e8ncia Internacional de la Universitat de Barcelona HUBc i forma part de la instituci\u00f3 CERCA de la Generalitat de Catalunya. L\u2019any 2009 es va convertir en un dels cinc primers centres d\u2019investigaci\u00f3 espanyols acreditats com a institut d\u2019investigaci\u00f3 sanit\u00e0ria per l\u2019Instituto de Salud Carlos III. A m\u00e9s, forma part del programa \u201cHR Excellence in Research\u201d de la Uni\u00f3 Europea i \u00e9s membre de EATRIS i REGIC. Des de l\u2019any 2018, l\u2019IDIBELL \u00e9s un Centro Acreditado de la Fundaci\u00f3n Cient\u00edfica AECC (FCAECC).<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dos recents estudis liderats pel Grup de Recerca Infermera GRIN-IDIBELL mostren l&#8217;impacte del n\u00famero d&#8217;infermeres i la complexitat de cures en complicacions associades al cat\u00e8ter ven\u00f3s perif\u00e8ric dels pacients atesos en hospitalitzaci\u00f3 i urg\u00e8ncies.<\/p>\n","protected":false},"author":8,"featured_media":26455,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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