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强化互动课程及实践操作对提高医护人员锐器伤和飞溅伤认知的有效性。

Effectiveness of Intensive Interactive Classes and Hands on Practice to Increase Awareness about Sharps Injuries and Splashes among Health Care Workers.

作者信息

Rajkumari Nonika, Mathur Purva, Gunjiyal Jacinta, Misra Mahesh Chandra

机构信息

Assistant Professor, Department of Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research , Puducherry, India .

Additional Professor, Department of Laboratory Medicine (Microbiology Division), Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences , New Delhi, India .

出版信息

J Clin Diagn Res. 2015 Jul;9(7):DC17-21. doi: 10.7860/JCDR/2015/12833.6219. Epub 2015 Jul 1.

Abstract

BACKGROUND

Occupational exposure to sharps and splashes pose a major hazard among health care workers (HCWs); so knowledge and awareness regarding sharps/splashes by blood and potentially infectious body fluids (BBF) is a must. Hence, the study was done to assess the extent of knowledge of the staff and using awareness classes and hands on practice as a model to increase awareness as well as prevention.

MATERIALS AND METHODS

This prospective interventional cohort study, using before - after trial, was conducted in a Level I trauma care centre. All cadres of HCWs were enrolled randomly into 5 different groups of 15 each. This study was conducted in 2 phases - interactive classes and hands on practice (Phase I) and questionnaire assessment and work area observation (phase II). This was repeated twice and the final outcome was analysed. A systematic level of grading was used to assess the improvement.

RESULTS

It was observed that Group 1 (doctors) and group 2 (nurses) had the maximum knowledge about such exposures and its prevention compared to the other groups (groups 3, 4 and 5) during the initial assessment (Phase I). The remaining groups showed a major improvement after the 2(nd) assessment, though their knowledge was poor in the beginning. Groups 1and 2 showed 32% and remaining groups showed a 25% improvement in voluntary reporting after the second assessment (Phase II).

CONCLUSION

Awareness classes and hands on practice are indeed useful in generating knowledge about sharps/ splashes. Certain incentives given at right time can improve it further.

摘要

背景

医护人员职业暴露于锐器和飞溅物中是一个重大危害;因此,了解血液和潜在感染性体液(BBF)导致的锐器/飞溅物相关知识并提高意识是必不可少的。因此,开展本研究以评估工作人员的知识水平,并以提高认识和预防为目的,采用培训课程和实际操作作为模型。

材料与方法

本前瞻性干预队列研究采用前后试验设计,在一级创伤护理中心进行。所有医护人员干部被随机分为5个不同的组,每组15人。本研究分两个阶段进行——互动课程和实际操作(第一阶段)以及问卷调查评估和工作区域观察(第二阶段)。重复进行两次,并分析最终结果。采用系统的评分等级来评估改进情况。

结果

在初始评估(第一阶段)期间观察到,与其他组(第3、4和5组)相比,第1组(医生)和第2组(护士)对这类暴露及其预防的知识掌握得最多。其余组在第二次评估后有了很大改进,尽管他们一开始知识掌握较差。在第二次评估(第二阶段)后,第1组和第2组的自愿报告率提高了32%,其余组提高了25%。

结论

培训课程和实际操作确实有助于增加对锐器/飞溅物的知识了解。适时给予一定激励可进一步提高效果。

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