大流行期间土耳其重症监护病房护士和医生隔离依从性和SARS-CoV-2感染状况的研究

Ayşe Berivan SAVCI BAKAN, H. Alay, Sibel İba Yılmaz
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摘要

背景:与卫生保健服务相关的感染不仅在患者中传播,而且在卫生保健专业人员中传播。在重症监护病房(icu)传播的风险更高。目的:了解疫情期间重症监护病房医护人员SARS-CoV-2感染情况及隔离防护依从性。方法:本横断面研究于2021年3月至5月在土耳其东部两个城市的三家不同地位的医院(即教育和研究医院、大学研究医院和城市医院)进行。样本量以205人计算,这些人是用已知人口的抽样方法选择的。采用方便抽样法将参与者纳入样本。通过社会人口学形式和隔离预防依从性量表收集数据(Cronbach’s alpha = 0.85,解释方差比= 50.50%,Kaiser-Meyer-Olkin = 0.872, Bartlett检验:P < 0.05)。数据在SPSS软件(版本18)中使用描述性统计和推理统计进行分析。结果:患者平均年龄29.95±7.16岁。66.3%为女性,77.6%为护士。医生和护士对隔离预防措施的依从性较好(77.6% [n = 159]为护士,22.4% [n = 46]为医生)。此外,40%的ICU医护人员诊断为SARS-CoV-2感染,并且观察到这种诊断与与同一房屋的其他个体的诊断之间存在显着关系(P < 0.001)。此外,SARS-CoV-2感染诊断与SARS-CoV-2患者工作时间、手卫生及相关态度、在公共区域佩戴口罩、执行产生气溶胶的程序以及与SARS-CoV-2患者密切接触时防护装备使用不足之间存在统计学意义的关系(P > 0.05)。结论:SARS-CoV-2在医护人员中的传播与他们在医院采取的干预措施无关。医护人员应注意家庭污染。
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Identification of the Isolation Compliance and SARS-CoV-2 Infection Status Among Nurses and Doctors Working in Intensive Care Units During the Pandemic in Turkey
Background: Infections associated with healthcare services spread not only among patients but also among healthcare professionals. The risk of transmission is higher in intensive care units (ICUs). Objectives: This study aimed to identify the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection status and compliance with isolation precautions among doctors and nurses working in ICUs during the pandemic. Methods: This cross-sectional study was conducted from March to May 2021 in three different status hospitals (i.e., Education and Research Hospital, University Research Hospital, and City Hospital) in two cities in eastern Turkey. The sample size was calculated at 205 individuals who were selected using the sampling method with a known population. Participants were included in the sample using the convenience sampling method. The data were collected through the sociodemographic form and compliance with isolation precautions scale (Cronbach’s alpha = 0.85, explained variance ratio = 50.50%, Kaiser-Meyer-Olkin = 0.872, Bartlett’s test: P < 0.05). The data were analyzed in SPSS software (version 18) using descriptive and inference statistics. Results: The participants’ average age was 29.95 ± 7.16 years. Moreover, 66.3% of the participants were females, and 77.6% were nurses. The doctors and nurses displayed good compliance with isolation precautions (77.6% [n = 159] and 22.4% [n = 46] of the participants were nurses and doctors, respectively). Furthermore, 40% of the ICU healthcare professionals had a SARS-CoV-2 infection diagnosis, and a significant relationship was observed between having this diagnosis and the diagnosis of other individuals who were sharing the same house (P < 0.001). In addition, statistically significant relationships were observed between having a SARS-CoV-2 infection diagnosis and the duration of working with SARS-CoV-2 patients, hand hygiene and related attitudes, removing masks in common areas, implementing procedures producing aerosols, and inadequacies in the use of protective equipment during close contact with SARS-CoV-2 patients (P > 0.05). Conclusions: The transmission of SARS-CoV-2 in healthcare workers was not related to the interventions they made in the hospital. Healthcare workers should pay attention to domestic contamination.
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