Chan Regina, Molassiotis Alexander, Chan Eunice, Chan Virene, Ho Becky, Lai Chit-ying, Lam Pauline, Shit Frances, Yiu Ivy
Prince of Wales Hospital, Hong Kong.
Int J Nurs Stud. 2002 Feb;39(2):157-63. doi: 10.1016/s0020-7489(01)00021-9.
A cross-sectional survey was conducted to investigate the nurses' knowledge of and compliance with Universal Precautions (UP) in an acute hospital in Hong Kong. A total of 450 nurses were randomly selected from a population of acute care nurses and 306 were successfully recruited in the study. The study revealed that the nurses' knowledge of UP was inadequate. In addition, UP was not only insufficiently and inappropriately applied, but also selectively practiced. Nearly all respondents knew that used needles should be disposed of in a sharps' box after injections. However, nurses had difficulty in distinguishing between deep body fluids and other general body secretions that are not considered infectious in UP. A high compliance was reported regarding hand-washing, disposal of needles and glove usage. However, the use of other protective wear such as masks and goggles was uncommon. The results also showed no significant relationships between the nurses' knowledge and compliance with UP. It is recommended that UP educational programmes need to consider attitudes in conjunction with empirical knowledge. Nurse managers and occupational health nurses should take a leadership role to ensure safe practices are used in the care of patients.
在香港一家急症医院进行了一项横断面调查，以调查护士对通用预防措施（UP）的知识掌握情况及依从性。从急症护理护士群体中随机抽取了450名护士，其中306名成功纳入研究。研究表明，护士对通用预防措施的知识掌握不足。此外，通用预防措施不仅应用不充分、不恰当，而且存在选择性执行的情况。几乎所有受访者都知道注射后用过的针头应丢弃在锐器盒中。然而，护士们难以区分深部体液与通用预防措施中不视为具有传染性的其他一般身体分泌物。报告显示在洗手、针头处理和手套使用方面依从性较高。然而，使用口罩和护目镜等其他防护用品的情况并不常见。结果还表明，护士对通用预防措施的知识掌握情况与依从性之间没有显著关系。建议通用预防措施教育项目需要将态度与经验知识结合起来考虑。护士管理人员和职业健康护士应发挥领导作用，确保在患者护理中采用安全的做法。
