Cost analysis and evaluation of covers for a central venous catheter insertion site in BMT
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Reme (Online) |
Texto Completo: | https://periodicos.ufmg.br/index.php/reme/article/view/50390 |
Resumo: | A central venous catheter is indispensable to maintain a prolonged venous access, and is widely used in bone marrow transplants. The implementation of a central venous catheter (CVC) is necessary to keep a safer venous access for long periods of time. It is necessary as well to maintain blood aspiration, administration of medication and blood products. However, the choosing of different dressing covers for the catheter insertion site is controversial given the difference in its cost and ability to prevent infect ions. This study aimed to analyze the use and cost of different types of Central Venous Catheter covers, how often it is changed, and the appearance of infections related to that device in a Bone Marrow Transplantation Unit. A retrospective research with an exploratory and descriptive approach was carried out. Data was collected from 68 patients' medical records. It was observed that a transparent film dressing lasted from 4 to 7 d ays, whilst sterile gauze pads were in place from 24 hours to 48 hours. The use of sterile gauze pads had a higher cost when compared to transparent film as the former needed to bechanged more frequently during the week. There was no connect ion between the use of the different dressing covers and the appearance of infection. In conclusion a constant evaluation of the nursing care procedure is needed, along with an appropriate care, research and sensible management. Further studies on the importance of standardized procedures could lead to the improvement of the nursing care service and of the hospital in general. |
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Cost analysis and evaluation of covers for a central venous catheter insertion site in BMTEvaluación de las coberturas para sitio de inserción del catéter venoso central en TMO: análisis de costosAvaliação das coberturas para sítio de inserção do cateter venoso central no TMO: analise de custosIndwelling CatheterEconomics of NursingNursing CareCateteres permanentesEconomia de la EnfermeríaAtención de EnfermeríaCateteres de DemoraEconomia da EnfermagemCuidados de EnfermagemA central venous catheter is indispensable to maintain a prolonged venous access, and is widely used in bone marrow transplants. The implementation of a central venous catheter (CVC) is necessary to keep a safer venous access for long periods of time. It is necessary as well to maintain blood aspiration, administration of medication and blood products. However, the choosing of different dressing covers for the catheter insertion site is controversial given the difference in its cost and ability to prevent infect ions. This study aimed to analyze the use and cost of different types of Central Venous Catheter covers, how often it is changed, and the appearance of infections related to that device in a Bone Marrow Transplantation Unit. A retrospective research with an exploratory and descriptive approach was carried out. Data was collected from 68 patients' medical records. It was observed that a transparent film dressing lasted from 4 to 7 d ays, whilst sterile gauze pads were in place from 24 hours to 48 hours. The use of sterile gauze pads had a higher cost when compared to transparent film as the former needed to bechanged more frequently during the week. There was no connect ion between the use of the different dressing covers and the appearance of infection. In conclusion a constant evaluation of the nursing care procedure is needed, along with an appropriate care, research and sensible management. Further studies on the importance of standardized procedures could lead to the improvement of the nursing care service and of the hospital in general.Para mantener un acceso venoso prolongado y seguro se necesita el Catéter Venoso Central (CVC), ampliamente utilizado en los trasplantes de médula ósea, debiendo ser manipulado periódicamente para aspirar la sangre e inyectar medicamentos y hemocomponentes. No obstante, la utilización de las diferentes coberturas para el sitio de inserción del catéter es discutible, tomando en cuenta los costos y la prevención de infecciones. El presente estudio tuvo como objetivo analizar la situación y el costo de diferentes tipos de coberturas del Catéter Venoso Central en relación a los reemplazos rutinarios y a la frecuencia de casos de infección vinculados al dispositivo en un Servicio de Trasplante de Médula Ósea. Fue realizada una investigación retrospectiva con carácter descriptivo exploratorio y recogida de datos de historias clínicas de 68 pacientes. Fue posible observar que el período de permanencia del apósito transparente como cobertura varió de 4 a 7 días, mientras que para gasa IV fue de 1 a 2 días. El uso de gasa estéril para cobertura presentó un costomas elevado en comparación conel uso de los apósitos transparentes, debido a la necesidad de efectuar cambios repetidos durante la semana. No se encontró ninguna diferencia estadística entre las dos coberturas utilizadas ni tampoco que haya ha bido infección. En conclusión, es necesaria la evaluación constante en el proceso de cuidados en enfermería asociada a la atención, investigación y gerencia, una vez que estudios sobre el impacto de procedimientos estandarizados pueden llevar a la excelencia del servicio de enfermería y de la institución.A utilização de um cateter venoso central (CVC) torna-se necessária para manter um acesso venoso prolongado, sendo amplamente utilizado nos transplantes de medula óssea. A implantação de um CVC torna-se necessária para manter um acesso venoso seguro, por período prolongado, para que se receba periodicamente manuseios para aspiração sangüínea e administração de medicamentos e hemocomponentes. Contudo, a utilização das diferentes coberturas para o curativo do sítio de inserção do cateter é controversa quanto ao custo e à prevenção de infecção. Objetivou-se, com este estudo, analisar a utilização e o custo de diferentes tipos de coberturas de CVC em relação à periodicidade de sua troca e, também, a freqüência de infecções relacionadas ao dispositivo em um serviço de transplante de medula óssea. Foi realizada uma pesquisa retrospectiva com caráter exploratório e descritivo, mediante coleta de dados de prontuários de 68 pacientes. Foi possível observar que o período de permanência do filme trans parente como cobertura variou de quatro a sete dias, enquanto para o de gaze estéril foi de um a dois dias. A utilização da gaze estéril para cobertura apresentou custo mais elevado em comparação com o uso de filme, dada a necessidade de trocas repetidas durante a semana. Não foi encontrada diferença estatística entre as diferentes coberturas utilizadas e a ocorrência de infecção. Conclui-se que há necessidade de constante avaliação do processo do cuidado em enfermagem, associada à assistência, à pesquisa e à gerência, uma vez que estudos sobre o impacto de procedimentos padronizados podem levarão aprimoramento do serviço da enfermagem e da instituição.Universidade Federal de Minas Gerais2011-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/plainapplication/pdfhttps://periodicos.ufmg.br/index.php/reme/article/view/50390REME-Revista Mineira de Enfermagem; Vol. 15 No. 2 (2011)REME-Revista Mineira de Enfermagem; Vol. 15 Núm. 2 (2011)REME-Revista Mineira de Enfermagem; v. 15 n. 2 (2011)2316-93891415-2762reponame:Reme (Online)instname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGporhttps://periodicos.ufmg.br/index.php/reme/article/view/50390/41953https://periodicos.ufmg.br/index.php/reme/article/view/50390/41954Copyright (c) 2011 Reme: Revista Mineira de Enfermageminfo:eu-repo/semantics/openAccessAndrade, Angélica MônicaBorges, Kelli dos SantosLima, Helidea de Oliveira2024-01-24T16:07:27Zoai:periodicos.ufmg.br:article/50390Revistaremeufmg@gmail.comPUBhttps://periodicos.ufmg.br/index.php/reme/oairemeufmg@gmail.com2316-93891415-2762opendoar:2024-01-24T16:07:27Reme (Online) - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.none.fl_str_mv |
Cost analysis and evaluation of covers for a central venous catheter insertion site in BMT Evaluación de las coberturas para sitio de inserción del catéter venoso central en TMO: análisis de costos Avaliação das coberturas para sítio de inserção do cateter venoso central no TMO: analise de custos |
title |
Cost analysis and evaluation of covers for a central venous catheter insertion site in BMT |
spellingShingle |
Cost analysis and evaluation of covers for a central venous catheter insertion site in BMT Andrade, Angélica Mônica Indwelling Catheter Economics of Nursing Nursing Care Cateteres permanentes Economia de la Enfermería Atención de Enfermería Cateteres de Demora Economia da Enfermagem Cuidados de Enfermagem |
title_short |
Cost analysis and evaluation of covers for a central venous catheter insertion site in BMT |
title_full |
Cost analysis and evaluation of covers for a central venous catheter insertion site in BMT |
title_fullStr |
Cost analysis and evaluation of covers for a central venous catheter insertion site in BMT |
title_full_unstemmed |
Cost analysis and evaluation of covers for a central venous catheter insertion site in BMT |
title_sort |
Cost analysis and evaluation of covers for a central venous catheter insertion site in BMT |
author |
Andrade, Angélica Mônica |
author_facet |
Andrade, Angélica Mônica Borges, Kelli dos Santos Lima, Helidea de Oliveira |
author_role |
author |
author2 |
Borges, Kelli dos Santos Lima, Helidea de Oliveira |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Andrade, Angélica Mônica Borges, Kelli dos Santos Lima, Helidea de Oliveira |
dc.subject.por.fl_str_mv |
Indwelling Catheter Economics of Nursing Nursing Care Cateteres permanentes Economia de la Enfermería Atención de Enfermería Cateteres de Demora Economia da Enfermagem Cuidados de Enfermagem |
topic |
Indwelling Catheter Economics of Nursing Nursing Care Cateteres permanentes Economia de la Enfermería Atención de Enfermería Cateteres de Demora Economia da Enfermagem Cuidados de Enfermagem |
description |
A central venous catheter is indispensable to maintain a prolonged venous access, and is widely used in bone marrow transplants. The implementation of a central venous catheter (CVC) is necessary to keep a safer venous access for long periods of time. It is necessary as well to maintain blood aspiration, administration of medication and blood products. However, the choosing of different dressing covers for the catheter insertion site is controversial given the difference in its cost and ability to prevent infect ions. This study aimed to analyze the use and cost of different types of Central Venous Catheter covers, how often it is changed, and the appearance of infections related to that device in a Bone Marrow Transplantation Unit. A retrospective research with an exploratory and descriptive approach was carried out. Data was collected from 68 patients' medical records. It was observed that a transparent film dressing lasted from 4 to 7 d ays, whilst sterile gauze pads were in place from 24 hours to 48 hours. The use of sterile gauze pads had a higher cost when compared to transparent film as the former needed to bechanged more frequently during the week. There was no connect ion between the use of the different dressing covers and the appearance of infection. In conclusion a constant evaluation of the nursing care procedure is needed, along with an appropriate care, research and sensible management. Further studies on the importance of standardized procedures could lead to the improvement of the nursing care service and of the hospital in general. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.ufmg.br/index.php/reme/article/view/50390 |
url |
https://periodicos.ufmg.br/index.php/reme/article/view/50390 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.ufmg.br/index.php/reme/article/view/50390/41953 https://periodicos.ufmg.br/index.php/reme/article/view/50390/41954 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2011 Reme: Revista Mineira de Enfermagem info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2011 Reme: Revista Mineira de Enfermagem |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/plain application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.source.none.fl_str_mv |
REME-Revista Mineira de Enfermagem; Vol. 15 No. 2 (2011) REME-Revista Mineira de Enfermagem; Vol. 15 Núm. 2 (2011) REME-Revista Mineira de Enfermagem; v. 15 n. 2 (2011) 2316-9389 1415-2762 reponame:Reme (Online) instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
instname_str |
Universidade Federal de Minas Gerais (UFMG) |
instacron_str |
UFMG |
institution |
UFMG |
reponame_str |
Reme (Online) |
collection |
Reme (Online) |
repository.name.fl_str_mv |
Reme (Online) - Universidade Federal de Minas Gerais (UFMG) |
repository.mail.fl_str_mv |
remeufmg@gmail.com |
_version_ |
1797041907579224064 |