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约旦放射技师对医院感染控制措施的了解情况。

Knowledge of nosocomial infection control practices among radiographers in Jordan.

作者信息

Abdelrahman M A, Alhasan M, Alewaidat H, Rawashdeh M A, Al Mousa D S, Almhdawi K A

机构信息

Department of Allied Medical Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan.

Department of Allied Medical Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

Radiography (Lond). 2017 Nov;23(4):298-304. doi: 10.1016/j.radi.2017.07.005. Epub 2017 Jul 27.

Abstract

INTRODUCTION

Nosocomial infections add health-related and financial burdens on health systems. This study aims to evaluate the radiographers' knowledge of nosocomial infection control practices in Jordan.

METHODS

A cross-sectional questionnaire-based assessment was conducted. The main domains of the knowledge based test were the nature of nosocomial infections, standard precautions, and infection control practices specific to the radiology department. Comparison of knowledge among radiographers was assessed using the Student t-test and ANOVA. Multiple linear regression was used to find predictors of the knowledge score.

RESULTS

The final analysis included 100 radiographers from educational, private, and public hospitals. Mean knowledge score was 66.2% (SD: 20.3%, range: 25.0-100%). Questions with the lowest correctly scored were about the main source of infections (17%), recapping used needles (27%), gloves use (27%), the necessity of using overshoes (26%) and a cap (26%) when there is a risk of biological fluid splashes, the necessity of using sterile gloves (7%) and protective masks (5%) during all invasive procedures, the manoeuvrability around a sterile field (54%), and the safety of passing the imaging plate to the scrub nurse in order to place it under the radiographer's direction (37%). Predictors of knowledge score were the academic degree and training status (R = 0.21, P < 0.001).

CONCLUSION

Knowledge of infection control practices among Jordanian radiographers was moderate. Future training should focus on handling used needles, the use of protective barriers, and the manoeuvrability around sterile fields. Improved academic curriculum and on-site training could enhance knowledge in infection control practices.

摘要

引言

医院感染给卫生系统带来了与健康相关的负担和经济负担。本研究旨在评估约旦放射技师对医院感染控制措施的了解情况。

方法

进行了一项基于问卷调查的横断面评估。知识测试的主要领域包括医院感染的性质、标准预防措施以及放射科特有的感染控制措施。使用学生t检验和方差分析评估放射技师之间知识的比较情况。采用多元线性回归来寻找知识得分的预测因素。

结果

最终分析纳入了来自教育机构、私立医院和公立医院的100名放射技师。平均知识得分为66.2%(标准差:20.3%,范围:25.0 - 100%)。得分最低的问题涉及感染的主要来源(17%)、重新盖帽使用过的针头(27%)、手套的使用(27%)、在有生物液体飞溅风险时使用鞋套(26%)和帽子(26%)的必要性、在所有侵入性操作过程中使用无菌手套(7%)和防护口罩(5%)的必要性、在无菌区域周围的操作灵活性(54%)以及在放射技师指导下将成像板递给刷手护士放置时的安全性(37%)。知识得分的预测因素是学术学位和培训状况(R = 0.21,P < 0.001)。

结论

约旦放射技师对感染控制措施的了解程度中等。未来的培训应侧重于用过针头的处理、防护屏障的使用以及在无菌区域周围的操作灵活性。改进学术课程和现场培训可以增强感染控制措施方面的知识。

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