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高复杂性部门的手卫生作为对抗新型冠状病毒肺炎的一个整合要素。

Hand hygiene in high-complexity sectors as an integrating element in the combat of Sars-CoV-2.

作者信息

Paula Danielle Galdino de, Francisco Marianna Ramos, Freitas Juliana Dias, Levachof Renata Christine Quintella, Fonseca Bianca de Oliveira, Simões Bruno Francisco Teixeira, Bilio Rafael de Lima

机构信息

Universidade Federal do Estado do Rio de Janeiro. Rio de Janeiro, Rio de Janeiro, Brazil.

University Medical Center Schleswig-Holstein. Kiel, Schleswig-Holstein, Germany.

出版信息

Rev Bras Enferm. 2020 Jun 29;73Suppl 2(Suppl 2):e20200316. doi: 10.1590/0034-7167-2020-0316. eCollection 2020.

Abstract

OBJECTIVE

to perform a situational diagnosis of the behavior of health professionals concerning hand hygiene practices in highly-complex sectors.

METHODS

this quantitative and retrospective study was based on reports (2016 and 2017) of Adult and Pediatric ICUs of a Federal hospital in Rio de Janeiro.

RESULTS

one thousand two hundred fifty-eight opportunities for hand hygiene were analysed. The chance of professionals sanitizing hands in Pediatric ICUs is 41.61% higher than in Adult ICUs. Concerning proper hand hygiene, the medical team had a 39.44% lower chance than the nursing team. Others had a 30.62% lower chance when compared to the nursing team. The moment "after contact with the patient" presented 4.5275 times the chance in relation "before contact with the patient".

CONCLUSION

in front of hand hygiene recommendations to control COVID-19, diagnostic assessment and previous analysis of the behavior of professionals proved to be positive.

摘要

目的

对高度复杂科室中卫生专业人员手部卫生习惯进行现状诊断。

方法

本定量回顾性研究基于里约热内卢一家联邦医院成人及儿科重症监护病房2016年和2017年的报告。

结果

分析了1258次手部卫生机会。儿科重症监护病房专业人员手部消毒的几率比成人重症监护病房高41.61%。在正确的手部卫生方面,医疗团队的几率比护理团队低39.44%。与护理团队相比,其他人员的几率低30.62%。“接触患者后”这一时刻的几率是“接触患者前”的4.5275倍。

结论

面对控制新冠疫情的手部卫生建议,对专业人员行为的诊断评估和先前分析被证明是积极的。

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