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患者在医疗相关感染预防中的伙伴作用。

Patient as a Partner in Healthcare-Associated Infection Prevention.

机构信息

State Higher Vocational School, 33-100 Tarnów, Poland.

St. Łukasz Voivodeship Hospital, 33-100 Tarnów, Poland.

出版信息

Int J Environ Res Public Health. 2018 Mar 29;15(4):624. doi: 10.3390/ijerph15040624.

Abstract

OBJECTIVES

The objective of the study was getting to know the knowledge and attitudes towards hand hygiene (HH) among Polish patients and healthcare workers (HCWs).

METHODS

459 respondents replied to the survey: 173 (37.6%) patients and 286 (62.3%) HCWs; 57 HCWs were additionally interviewed.

RESULTS

Few HCWs knew and used the "5 moments for HH" in the required situations. Both patients and HCWs rated HH of other HCWs poorly: only 75% of patients and 54% of HCWs noticed the application of HH before blood sample collection, but 1/2 of interviewed HCWs did not encounter a request for HH from a patient. According to interviews, 23 (40%) HCWs did not admonish others when they did not use HH. Seventy-five percent of patients and HCWs claimed that, in the past, in schools the toilets were poorly stocked, but the situation improved with the passage of time.

CONCLUSIONS

There are barriers with resspect to treating patients as partners in HH in Polish hospitals and HCWs' lack of compliance with the "5 moments for HH" significantly reduces patients' safety.

PRACTICE IMPLICATIONS

Education regarding HH should be conducted for the whole society from an early age: lack of proper supplies in school bathrooms impedes the development of positive HH habits.

摘要

目的

本研究旨在了解波兰患者和医护人员(HCWs)对手卫生(HH)的知识和态度。

方法

459 名受访者回答了调查:173 名(37.6%)患者和 286 名(62.3%)HCWs;另外采访了 57 名 HCWs。

结果

少数 HCWs在需要的情况下了解并使用“HH 五个时刻”。患者和 HCWs 对其他 HCWs 的 HH 评价都很差:只有 75%的患者和 54%的 HCWs注意到在采集血样前进行 HH,但接受采访的 HCWs 中有 1/2 没有遇到患者要求 HH。根据采访,23(40%)名 HCWs 在其他人不使用 HH 时没有警告他们。75%的患者和 HCWs 声称,过去学校的厕所供应不足,但随着时间的推移情况有所改善。

结论

在波兰医院,将患者视为 HH 合作伙伴存在障碍,而 HCWs 不遵守“HH 五个时刻”,这大大降低了患者的安全性。

实践意义

应从早期开始对整个社会进行 HH 教育:学校浴室供应不足会阻碍积极 HH 习惯的养成。

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