乌干达东部恩戈拉区恩戈拉弗雷迪卡医院护士预防和控制医院获得性感染的相关因素

O. Julius
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摘要

医院获得性感染在世界范围内发生,影响到数亿人,它们与医院或卫生机构收治的患者的高发病率和死亡率有关,是患者安全的一个主要问题,在要保证卫生保健安全的环境中,密切关注和避免感染应成为最优先事项。本研究的目的是确定护士内部与预防和控制医院获得性感染相关的因素。这项研究是在乌干达东部恩戈拉区恩戈拉弗雷迪卡医院进行的。结果:分别有63.6%和77.3%的护士了解重症感染的原因和传播途径,反映出医疗废物分类(85.2%)、洗手(77.3%)和利器存放(92%)的良好做法。答复者展示了感染预防和控制方面的良好做法。性别(女性,COR = 1.54)、经验(4年以下,COR = 1.43)、干部(COR = 1.41)与护士防控能力有显著相关。根据主要发现,得出以下结论:研究表明,大多数对感染预防有足够知识的护士和近三分之一以上的医疗保健提供者对感染预防的做法不佳。个体因素(性别、高龄、学历干部、服务年限、专业、知识、认知、实践)对护士感染防控有显著影响。关键词:控制,医院获得性感染,护士,预防
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Factors Associated with Prevention and Control of Hospital Acquired Infections within Nurses in Ngora Fredica Hospital Ngora District Eastern Uganda
Hospital Acquired Infections occur worldwide and affect hundreds and millions of people, and they are related to high rates of morbidity and mortality among patients who are admitted in hospitals or health facilities and are a major problem to patients’ safety and in settings where health care is to be made safe, their close watch and avoidance should be the topmost priority. The purpose of the study was to determine the factors within the nurses that were associated to the prevention and control of Hospital-acquired infections. The study was conducted at Ngora Fredica Hospital Ngora district Eastern Uganda. Results: 63.6% and 77.3% of nurses were found to be knowledgeable on causes and transmission of HAIs, respectively, which reflected good practices on medical waste segregation (85.2%), washing hands (77.3%), and storing sharps in safety boxes (92%). Respondents demonstrated good practice on infection prevention and control. Gender (female with COR = 1.54), experience (less than four years with COR = 1.43), and cadre (COR = 1.41) were significantly associated with nurses’ prevention and control abilities. Based on the key findings, the following were the conclusions: The study has demonstrated that the majority of the nurses who had adequate Knowledge about infection prevention and nearly above one-third of healthcare providers had poor practices towards infection prevention. Individual factors (gender, advanced age, educational status - cadre, serving year-experience, specialty, Knowledge, perceptions, and practice were significantly associated with nurses’ infection prevention and control. Keywords: Control, Hospital acquired infections, Nurses, Prevention.
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