Department of Pediatrics, Pediatric Pulmonary Division, Sherbrooke University Hospital, University of Sherbrooke, Sherbrooke, Quebec, Canada.
Am J Infect Control. 2013 Jan;41(1):14-8. doi: 10.1016/j.ajic.2011.12.019. Epub 2012 Apr 13.
Low respiratory hygiene compliance among health care workers of emergency departments has become a major concern in the spread of respiratory infections. Our objective was to determine the compliance with respiratory hygiene of triage nurses at 2 university hospital centers and to identify factors influencing compliance to the respiratory hygiene principles of emergency health care workers.
A 2-part, cross-sectional, descriptive study was conducted at 2 training centers. An anonymous observation of compliance with respiratory hygiene by triage emergency nurses was performed. A self-administered, voluntary questionnaire on attitudes, perceptions, and knowledge of respiratory hygiene guidelines was distributed to the health care workers at the emergency department of the 2 hospital sites.
Median objective compliance with respiratory hygiene measures of triage nurses was 22% (interquartile range [IQR], 11%-33%). Median perceived compliance of the health care workers was 68% (IQR, 61%-79%). Median actual knowledge score was 75% (IQR, 75%-100%). Overall, 91.9% of respondents believed that the mask was an effective preventive measure. The main obstacles toward mask wearing by the health care worker were "tendency to forget" (37.8%) and "discomfort" (35.1%).
The compliance rate at our institution is very low. We identified a few factors affecting adherence to respiratory hygiene measures that are of potential use in targeting groups and formulating recommendations.
急诊科医护人员的低呼吸道卫生依从性已成为呼吸道感染传播的主要关注点。我们的目的是确定 2 所大学医院中心分诊护士对呼吸道卫生的依从性，并确定影响急诊医护人员呼吸道卫生原则依从性的因素。
在 2 个培训中心进行了 2 部分、横断面、描述性研究。对分诊急诊护士的呼吸道卫生依从性进行了匿名观察。向 2 个医院站点的急诊科医护人员发放了一份关于呼吸道卫生指南的态度、看法和知识的自愿、匿名调查问卷。
分诊护士呼吸道卫生措施的中位客观依从率为 22%（四分位距[IQR]，11%-33%）。医护人员感知的中位依从率为 68%（IQR，61%-79%）。实际知识评分中位数为 75%（IQR，75%-100%）。总体而言，91.9%的受访者认为口罩是一种有效的预防措施。医护人员戴口罩的主要障碍是“倾向于忘记”（37.8%）和“不适”（35.1%）。
我们机构的依从率非常低。我们确定了一些影响呼吸道卫生措施依从性的因素，这些因素可能有助于确定目标人群并制定建议。
