Department of Health and Caring Sciences, University of Gävle, Sweden.
J Adv Nurs. 2011 Apr;67(4):756-62. doi: 10.1111/j.1365-2648.2010.05533.x. Epub 2010 Dec 28.
This paper is a report of a study conducted to describe primary healthcare personnel's knowledge of multidrug-resistant and preventive hygiene measures.
The group of patients at risk for multi-drug resistant bacteria is largely cared for in primary care. Knowledge of multidrug-resistant and hygiene preventive measures among primary healthcare personnel is therefore essential.
A descriptive and comparative questionnaire survey among primary healthcare personnel was performed in 2008. In total, five urban and rural primary healthcare centres situated in one county in central Sweden were included. Convenient sampling was used and 10 physicians, 38 district nurses and 10 nursing assistants participated. Knowledge/medical facts concerning multidrug-resistant and hygiene preventive measures were investigated and data were analysed using a quantitative approach.
Knowledge/medical facts concerning several aspects of multidrug-resistant bacteria, particularly Extended-Spectrum-Beta-Lactamase producing bacteria, were deficient as was knowledge of different aspects of hygiene preventive measures. Physicians showed significantly better results than district nurses and nursing assistants did. Awareness of proper hand-washing as an effective preventive method and use of aprons in nursing care was high among all participants. Staff who knew they had cared for these patients had significantly better results than the others did.
Our findings suggest that evidence-based education of multidrug-resistant and hygiene preventive measures, in primary health with subsequent follow-ups should become a prioritized clinician and management concern. Research is needed that focus implementation of evidence-based educations, staff attitudes and responsibilities related to the work with patients at risk of multidrug-resistant bacteria.
本文报告了一项研究，旨在描述初级保健人员对多重耐药菌和预防卫生措施的知识。
具有多重耐药菌风险的患者群体在很大程度上由初级保健机构负责治疗。因此，初级保健人员对多重耐药菌和卫生预防措施的了解至关重要。
2008 年对初级保健人员进行了描述性和对比性问卷调查。总共包括瑞典中部一个县的 5 个城市和农村初级保健中心。采用方便抽样法，10 名医生、38 名地区护士和 10 名护理助理参与了调查。调查了有关多重耐药菌和卫生预防措施的知识/医学事实，数据采用定量方法进行分析。
关于多重耐药菌的几个方面的知识/医学事实，特别是产超广谱β-内酰胺酶的细菌，以及不同方面的卫生预防措施的知识都存在不足。医生的得分明显高于地区护士和护理助理。所有参与者都高度意识到正确洗手作为一种有效预防方法的重要性，以及在护理中使用围裙的重要性。那些知道自己曾护理过这些患者的工作人员的得分明显高于其他工作人员。
我们的研究结果表明，应优先考虑为初级保健人员提供基于证据的多重耐药菌和卫生预防措施教育，并进行后续跟进。需要研究实施基于证据的教育、与处理多重耐药菌风险患者相关的员工态度和责任的问题。
