对卫生保健工作者标准预防知识和实践预测因素的系统评价

R. Waramlah, H. Rahmawati
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引用次数: 0

摘要

背景:标准预防措施(SP)在预防卫生保健相关感染(HAI)以及卫生保健工作者(HCWs)在卫生保健设施中的职业感染是重要的。然而,卫生保健工作者对SP的认识和实践仍然很差。目的:确定卫生保健工作者对标准预防措施的知识和实践的预测因素。材料和方法:使用Pubmed、Medline、Scopus和Google Scholar搜索引擎,以“标准预防措施或感染控制和知识实践”为关键词对文章进行检索。纳入的研究类型为分析性观察性研究。仅包括2010年至2018年发表的英文文章,可作为全文访问,并评估了标准预防措施的多个组成部分。结果:本研究共纳入10篇文章。本研究发现年龄、婚姻状况、临床经验、知识、行政角色、医院和工作部门等级、培训、血液和体液接触史以及健康信念模型(HBM)的构建等预测因素。结论:HBM结构是职业感染知识与实践的重要预测因子之一,针对HBM结构开展全面的职业感染知识与实践教育培训,有助于提高卫生保健工作者的职业感染依从性,从而降低职业感染暴露的机会。关键词:标准预防措施,预测因子,医护人员,知识与实践,感染控制。
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SYSTEMATIC REVIEW ON THE PREDICTORS OF KNOWLEDGE AND PRACTICE ON STANDARD PRECAUTIONS (SP) AMONG HEALTHCARE WORKERS (HCWS)
Background: Standard Precautions (SP) is important in preventing healthcare-associated infections (HAI) as well occupational infection among healthcare workers (HCWs) in healthcare facilities. However, the knowledge and practice of SP among HCWs is still poor. Objectives: To identify the predictors for knowledge and practice of Standard Precautions among HCWs. Materials and Methods: Articles were searched using Pubmed, Medline, Scopus and Google Scholar search engines using keywords “Standard Precautions OR infection control AND knowledge practice”. Types of studies included are analytical observational studies. Only English articles published from 2010 to 2018, accessible as full texts and evaluating multiple components of Standard Precautions were included in the review. Result: There are 10 articles included in this study. Several predictors had been identified through this review such as age, marital status, clinical experience, knowledge, administrative role, grade of hospital and working department, training, history of blood and body fluid exposure and constructs of Health Belief Model (HBM). Conclusion: HBM’s construct is among the important predictors of knowledge and practice on SP. Program aiming at comprehensive education and training about knowledge and practice on SP tailored to the HBM’s construct could help improve the compliance with SP among the HCWs in order to reduce the chances of occupational exposure to infections. Keywords: Standard Precautions, predictors, healthcare workers, knowledge and practice, infection control.
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