学生和在职护士、助产士和公共卫生检查员在监督和控制医院感染方面的知识、技能和能力

D. Monov
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摘要

为提高医疗活动的安全性和质量,制定了《医院感染预防与控制医学规范》。引入预防措施概念的目的是减少肿块、割伤、使用微创和侵入性方法进行干预的风险,以及评估活动或服务及其对患者的风险。目的:研究和评估卫生专业人员——护士和助产士,以及护生、助产士和公共卫生检查员对卫生保健相关感染监测和控制的监管框架的知识。资料:普通人群362人。方法:理论分析、统计方法、图解和社会学方法。采用IBM SPSS for Windows v.20.0统计软件包对数据进行处理。结果:符合2013年5月8日卫生部令第3号的要求。截至2013年5月11日,以下是有效的(工作人员为43.20%,学生为50.70%),但工作专家对规则的了解更多,乙肝携带研究的要求得到满足,工作专家比学生更经常检查是否存在肝炎和艾滋病毒感染(79.90%对59.50%)。医务人员在乙肝免疫方面存在显著差异,免疫率(49.80)低于研究中(81.80)。在职卫生保健工作者(81.30%)比正在接受培训的卫生保健工作者(30.40%)更了解废物管理系统。感染后丙型肝炎、丙型肝炎和艾滋病的工人占40.70%,学生占19.40%。
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KNOWLEDGE, SKILLS AND COMPETENCIES OF STUDENTS AND WORKING NURSES, MIDWIVES AND PUBLIC HEALTH INSPECTORS FOR THE SUPERVISION AND CONTROL OF NOSOCOMIAL INFECTIONS
To improve the safety and quality of medical activity, there is a Medical Standard for Prevention and Control of Nosocomial Infections. The introduction of the concept of preventive measures is aimed at reducing the risk of bumps, cuts, interventions using microinvasive and invasive methods, as well as assessing the activity or service and their risk to the patient.  Objective: To study and assess the knowledge of health professionals - nurses and midwives, as well as nursing students, midwives and public health inspectors, about the regulatory framework for the surveillance and control of infections associated with health care.  Materials: the general population covered 362 respondents.  Methods: theoretical analysis, statistical methods, graphic and sociological methods. A statistics software package - IBM SPSS for Windows v.20.0 - was used to process the data.  Results: The requirements of Decree No. 3 of the Ministry of Health of May 8, 2013 have been met. As of May 11, 2013, the following is valid (43.20% for working people and 50.70% for students, respectively), but working specialists demonstrate more knowledge about rules, the requirements for the study of carriage in hepatitis B are met, workers Specialists are more often examined for the presence of hepatitis and HIV infections compared to students (79.90% versus 59.50%).Conclusions. Medical practitioners have a significant difference in immunization against hepatitis B and are less immunized (49.80) than in the study (81.80). Working health care workers are more informed (81.30%) about the waste management system than those currently undergoing training (30.40%). Hepatitis C, Hepatitis C, HIV / AIDS after infection were in 40.70% of workers and 19.40% of students.
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