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患者设备的去污:埃塞俄比亚东南部医院护士自我报告的去污做法

Decontamination of patient equipment: nurses' self-reported decontamination practice in hospitals of southeast Ethiopia.

作者信息

Sahiledengle Biniyam

机构信息

Department of Public Health, Madda Walabu University Goba Referral Hospital, Bale-Goba, Ethiopia.

出版信息

BMC Res Notes. 2019 Jul 12;12(1):392. doi: 10.1186/s13104-019-4427-5.

DOI:10.1186/s13104-019-4427-5
PMID:31300038
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6624938/
Abstract

OBJECTIVE

Failure to adequately decontaminate patient equipment will increase the risk of transmission of infection between patients and may contribute to the development of hospital-acquired infections. In effect, full obedience towards the acceptable decontamination process by healthcare workers is required. The aim of this study was to assess decontamination practice and associated factors among nurses in hospitals of the southeast, Ethiopia.

RESULTS

A total of 273 nurses participated in the study with a response rate of 98.9%. Of these respondents, the acceptable decontamination practice was found to be 49.1% [95% CI 43.2-54.9%]. Nurses who have reported good infection prevention practice were 7.313 times more likely to had acceptable decontamination practice than there counterpart [AOR = 7.313; 95% CI: 4.030, 13.272, p value = 0.000]. Nurses who were working in the department having instructive posters or guideline target on instrument processing were 2.675 times more likely to had acceptable decontamination practice [AOR = 2.675; 95% CI: 1.376, 5.200, p-value = 0.004]. This low decontamination practice among nurses is a concern and might make hospitalized patients prone to different pathogenic microorganisms, which in turn can increase the risk of healthcare-associated infections. Therefore, enhancing the current nurses' decontamination practice through considering those identified factors is crucial.

摘要

目的

对患者设备进行充分消毒不彻底会增加患者之间感染传播的风险,并可能导致医院获得性感染的发生。实际上,医护人员需要完全遵守可接受的消毒流程。本研究的目的是评估埃塞俄比亚东南部医院护士的消毒实践及相关因素。

结果

共有273名护士参与了该研究,回复率为98.9%。在这些受访者中,可接受的消毒实践率为49.1%[95%置信区间43.2 - 54.9%]。报告有良好感染预防实践的护士进行可接受消毒实践的可能性是其同行的7.313倍[AOR = 7.313;95%置信区间:4.030,13.272,p值 = 0.000]。在设有关于器械处理的指导性海报或指南的科室工作的护士进行可接受消毒实践的可能性是其同行的2.675倍[AOR = 2.675;95%置信区间:1.376,5.200,p值 = 0.004]。护士中这种较低的消毒实践令人担忧,可能会使住院患者容易感染不同的致病微生物,进而增加医疗相关感染的风险。因此,通过考虑那些已确定的因素来加强当前护士的消毒实践至关重要。

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