医务人员“手卫生五时刻”知识知晓情况评估

Marta Wałaszek, M. Kołpa, A. Różańska, J. Wójkowska-Mach
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摘要

导言:世卫组织2009年发布的卫生保健手卫生指南为医疗专业人员提供了科学证据,证明在治疗患者时需要遵守手卫生习惯。研究目的:目的是调查医生和护士对世界卫生组织“手部卫生五时刻”的了解情况。材料和方法:本研究采用由研究作者设计的问卷进行;采用随机抽样。该研究涉及2017年在小波兰一家综合性医院工作的231名医生和护士。结果:75.9%的受访者承认知道“手卫生五时刻”,12.9%的受访者表示不知道,10.8%的受访者表示不知道。最常见的是,受访者列出了第一点(在患者接触之前- 81.7%),其次分别是:在患者接触之后- 79.1%;体液暴露后风险- 59.2%;无菌任务前- 58.1%;与患者周围接触后- 51.8%。女性比男性、护士比医生以及年资不足20年的人更了解“手部卫生的五个时刻”。内科病房员工在这方面的知识水平高于外科和icu员工,而急诊室员工在这方面的知识水平最低。结论:部分被调查者不了解世界卫生组织关于“手卫生五时刻”的指导原则,且自称了解该主题的人的知识水平不足。A.研究设计/计划•B.数据收集/录入•C.数据分析/统计•D.数据解释•E.稿件准备•F.文献分析/检索•G.资金募集
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Assessment of medical staff’s knowledge concerning the “five moments for hand hygiene”
Introduction: The guidelines issued by the WHO in 2009 on hand hygiene in healthcare have provided medical professionals with scientific evidence to justify the need to comply with hand hygiene practices when treating patients. Aim of the study: The aim was to examine the doctors’ and nurses’ knowledge of the “five moments for hand hygiene” by the WHO. Material and methods: The study was carried out using a questionnaire devised by the authors of the study; random sampling was used. The study involved 231 doctors and nurses working in a multi-profile hospital in Lesser Poland in 2017. Results: 75.9% of respondents admitted knowing the “five moments for hand hygiene”, 12.9% said they did not know them, and 10.8% abstained. Most often, respondents listed the first point (before patient contact – 81.7%), followed by, respectively: after patient contact – 79.1%; after body fluid exposure risk – 59.2%; before aseptic task – 58.1%; and after contact with patient surroundings – 51.8%. Better knowledge of the “five moments for hand hygiene” was shown by women than by men, by nurses than by doctors, and by people with seniority of less than 20 years. Employees of medical treatment wards presented more knowledge in this regard than employees of surgical departments and ICUs, while the staff of the Emergency Room had the lowest knowledge. Conclusions: Some respondents did not know the guidelines concerning the “five moments for hand hygiene” by the WHO, and the level of knowledge of those who declared good knowledge of the subject was insufficient. A. Study design/planning • B. Data collection/entry • C. Data analysis/statistics • D. Data interpretation • E. Preparation of manuscript • F. Literature analysis/search • G. Funds collection
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