Effects of a Short Message Service Intervention on Adherence to Maximal Sterile Barrier Precautions and Catheter-Related Blood Stream Infections

Moon Hee Kang; Dongoak Kim

doi:10.11111/jkana.2012.18.2.244

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Kang and Kim: Effects of a Short Message Service Intervention on Adherence to Maximal Sterile Barrier Precautions and Catheter-Related Blood Stream Infections

Original Article

Journal of Korean Academy of Nursing Administration

Journal of Korean Academy of Nursing Administration 2012; 18(2): 244-250.

Published online: 30 June 2012

DOI: https://doi.org/10.11111/jkana.2012.18.2.244

Effects of a Short Message Service Intervention on Adherence to Maximal Sterile Barrier Precautions and Catheter-Related Blood Stream Infections

Moon Hee Kang¹, Dongoak Kim²

¹Doctoral Student, Graduate School of Daejeon University, Korea.

²Associate professor, College of Nursing, Daejeon University, Korea.

Correspondence: Kim, Dongoak. Department of Nursing, Daejeon University Daehak-ro 62, Dong-gu, Daejeon 300-716, Korea. Tel: 82-42-280-2657, Fax: 82-42-280-2785, dokim@dju.kr

Received 17 May 2012 Revised 18 June 2012 Accepted 19 June 2012

Abstract

Purpose

The purpose of this study was to investigate the effect of a short message service intervention on adherence to maximal barrier precautions (MBP) and catheter-related blood stream infections.

Method

The data were collected from March to September, 2008, at an 826-bed university-affiliated hospital in Daejeon. The study participants were 24 physicians who were inserting central catheters and 133 patients (control group 78 and intervention group 55) with central catheter insertions. The researcher sent the message (adherence to MBP and optimal recommendations) to each internal medicine doctor using the short message service (SMS) for cellular phones. Messages were sent monthly for 3 months. Data were analyzed by chi-square test and t-test using SPSS 12.0 windows program.

Result

Adherence to maximal barrier precautions was significantly increased from 44.9% to 69.1% (p=.006) after the SMS intervention. But changes in the rate of CRBSI (catheter related blood stream infection) between the intervention group (1.89) and the control group (4.45) were not significant (p=.323).

Conclusions

The results indicate that the SMS intervention is effective in increasing the adherence to maximal barrier precautions and the SMS intervention can be recommended for utilization in infection control nursing practice.

Keywords: Short message service, Catheter-related infection, Adherence

Figures and Tables

Table 1

Characteristics of the Patients in the Control and Intervention Groups (N=133)

TPN= Total Parenteral Nutrition.

Table 2

Maximal Barrier Precaution (MBP) Adherence Rate(%) (N=133)

MBP= Maximal Barrier Precaution.

Table 3

Catheter-related Bloodstream Infection Rate (N=133)

No= Number; CRBSI= Catheter Related Bloodstream Infection.

Notes

This article is a condensed from of the first author's master's thesis from Daejeon University.

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