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三级医疗中心外科医生在针对血源性病原体采取标准预防措施方面的性别差异:一项横断面研究。

Gender differences in practicing standard precautions against blood-borne pathogens among surgeons at a tertiary care center: A cross-sectional study.

作者信息

Alsaigh Shahad Yousef, Alasmari Amal Aboud, Hakeem Anadel Hassan, Aloushan Amairah Fahad, Saleh Fatemah Saleh Bin, Althubaiti Alaa, Yousef Zeyad

机构信息

College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Department of Surgery, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia.

出版信息

Avicenna J Med. 2019 Jan-Mar;9(1):15-22. doi: 10.4103/ajm.AJM_146_18.

Abstract

BACKGROUND

Surgeons are at an increased risk of contracting blood-borne pathogens. The aim of this study was to evaluate gender difference, surgical position, surgical experience, and subspecialty regarding surgeons' compliance to standard precautions.

METHODS

A cross-sectional questionnaire-based study was performed using a purposive sampling. A total of 241 surgeons were surveyed from June 2017 to January 2018.

RESULTS

In total, 179 (74.3%) males and 62 (25.7%) females completed the questionnaire. The gender difference was evident when the type of surgery was extremely important in influencing the decision on wearing double gloves (DGs); 108 (60.3%) male surgeons versus 27 (43.5%) female surgeons ( = 0.022). Although a total of 17 (30.3%) surgeons reported being extremely and very concerned about contracting human immunodeficiency virus through their work, they had never tried DG ( = 0.027).

CONCLUSION

This study revealed that the decision of wearing DG was affected by several factors. Surgeons' decision to wear DG was influenced by the type of surgery. This study showed that most surgeons reported lack of adherence to barrier precaution measures.

摘要

背景

外科医生感染血源性病原体的风险增加。本研究的目的是评估性别差异、手术体位、手术经验和亚专业对外科医生遵守标准预防措施的影响。

方法

采用目的抽样法进行基于问卷调查的横断面研究。2017年6月至2018年1月共对241名外科医生进行了调查。

结果

共有179名(74.3%)男性和62名(25.7%)女性完成了问卷调查。当手术类型对决定佩戴双层手套(DGs)极为重要时,性别差异明显;108名(60.3%)男外科医生与27名(43.5%)女外科医生(P = 0.022)。尽管共有17名(30.3%)外科医生报告极其担心或非常担心通过工作感染人类免疫缺陷病毒,但他们从未尝试过双层手套(P = 0.027)。

结论

本研究表明,佩戴双层手套的决定受多种因素影响。外科医生佩戴双层手套的决定受手术类型影响。本研究显示,大多数外科医生报告未坚持屏障预防措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6363/6335877/f020ad256d15/AJM-9-15-g005.jpg

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本文引用的文献

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