Carvalho Milton Jorge de, Pereira Fernanda Maria Vieira, Gir Elucir, Lam Simon Ching, Barbosa Caio Parente
Faculdade de Medicina do ABC, Departamento de Ginecologia e Obstetrícia, Santo André/SP, Brazil.
Universidade Federal Fluminense - Enfermagem, Rio das Ostras/RJ, Brazil.
Clinics (Sao Paulo). 2016 Jul;71(7):387-91. doi: 10.6061/clinics/2016(07)06.
Physician compliance with standard precautions is important in the specialty of gynecology and obstetrics because of the high frequency of invasive procedures. The current study investigated compliance with standard precautions among resident physicians working in gynecology and obstetrics.
A cross-sectional study was conducted among resident physicians in gynecology and obstetrics in their first (R1), second (R2) and third (R3) years of residency at a teaching hospital in a city in São Paulo. A structured questionnaire that included demographic and professional aspects and the Standard Precautions Adherence Scale were used to collect data. Statistical analysis was performed using IBM® SPSS version 20. Ethical aspects were considered.
Fifty-eight resident physicians participated in the study. Of the enrolled participants, 27 (46.6%) were in R1, 12 (20.7%) were in R2 and 19 (32.8%) were in R3. The standard precautions compliance score was 4.1, which was classified as intermediate. There were no significant differences in the compliance scores of the resident physicians across the three years of residency (H=2.34, p=0.310).
Compliance with standard precautions among resident physicians was intermediate. Preventive measures in clinical practice are not fully adopted in the specialty of gynecology and obstetrics. More important, many professionals claimed lack of sufficient training in standard precautions in the workplace. Such circumstances should draw the attention of hospital management with regard to occupational health risks.
由于侵入性操作频繁，妇产科专科医生遵守标准预防措施至关重要。本研究调查了妇产科住院医师对标准预防措施的遵守情况。
在圣保罗市一家教学医院，对处于住院医师培训第一年（R1）、第二年（R2）和第三年（R3）的妇产科住院医师进行了一项横断面研究。使用一份包含人口统计学和专业方面内容的结构化问卷以及标准预防措施依从性量表来收集数据。使用IBM® SPSS 20版进行统计分析。考虑了伦理方面的问题。
58名住院医师参与了研究。在登记的参与者中，27人（46.6%）处于R1阶段，12人（20.7%）处于R2阶段，19人（32.8%）处于R3阶段。标准预防措施依从性得分是4.1，被归类为中等。在三年住院医师培训期间，住院医师的依从性得分没有显著差异（H = 2.34，p = 0.310）。
住院医师对标准预防措施的依从性处于中等水平。妇产科专科在临床实践中并未充分采取预防措施。更重要的是，许多专业人员声称在工作场所缺乏关于标准预防措施的充分培训。这种情况应引起医院管理层对职业健康风险的关注。
