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东北部某县院前与院内急诊护理专业人员对标准预防措施的依从性

Adherence to standard precaution measures between pre-and in-hospital emergency nursing professionals in a northeast county.

作者信息

Mendes Aline Maria Veras, Lima Magda Milleyde de Sousa, de Araújo Dariane Veríssimo, Albuquerque Izabelle Mont'Alverne Napoleão, Santiago Luciana Maria Montenegro, Barros Lívia Moreira

机构信息

Nursing, Sate University of the Acaraú Valley - Sobral (CE), Brazil. Universidade Estadual do Vale do Acaraú Nursing Sate University of the Acaraú Valley Brazil.

出版信息

Rev Bras Med Trab. 2019 Dec 1;17(4):573-581. doi: 10.5327/Z1679443520190390. eCollection 2019.

Abstract

INTRODUCTION

Health professionals are constantly exposed to occupational accidents. In this context, standard precautionary measures (PP) were established, designing biosafety standards at all stages of care, but several factors influence low adherence.

OBJECTIVE

To evaluate the adherence of nursing professionals working in emergency services to standard precautionary measures.

METHOD

This is an exploratory study with quantitative approach developed in northern Ceará from June to July 2018. Data were collected from the instruments: clinical-epidemiological data and the scale of adherence to PPS. Statistical analysis was performed using SPSS version 22.0 software.

RESULTS

Of the 86 interviewees, 20.93% were linked to SAMU and 79.07% to hospital emergency trauma-orthopedics, distributed among 79.07% nursing technicians and 20.93% nurses, being 45.34% gender male and 54.65% female. Data analysis identified a statistically significant difference when comparing intermediate and high adherence levels in the items: follow standard precautions with all patients regardless of diagnosis (p=0.05); wear a protective apron when dealing with secretions or blood (p=0.000); wear protective glasses when dealing with blood or secretions (p=0.000); wear a disposable mask (p=0.001) and immediately wipe off any blood or other secretions (p=0.002).

CONCLUSIONS

Non-compliance with PP is due to an association of interrelated factors that refers to the units personal, organizational and structural profile. Therefore, the development of actions to promote guidance to professionals is indispensable.

摘要

引言

卫生专业人员经常面临职业事故。在此背景下,制定了标准预防措施(PP),在护理的各个阶段设计生物安全标准,但有几个因素影响了低依从性。

目的

评估在急诊服务部门工作的护理专业人员对标准预防措施的依从性。

方法

这是一项于2018年6月至7月在塞阿拉州北部开展的采用定量方法的探索性研究。数据通过以下工具收集:临床流行病学数据和对PPS的依从性量表。使用SPSS 22.0版软件进行统计分析。

结果

在86名受访者中,20.93%与急救医疗服务中心(SAMU)有关联,79.07%与医院急诊创伤骨科有关联,分布在79.07%的护理技术员和20.93%的护士中,男性占45.34%,女性占54.65%。数据分析显示,在以下项目中比较中等和高依从性水平时存在统计学显著差异:对所有患者都遵循标准预防措施,无论诊断结果如何(p=0.05);处理分泌物或血液时穿防护围裙(p=0.000);处理血液或分泌物时戴防护眼镜(p=0.000);戴一次性口罩(p=0.001)以及立即擦去任何血液或其他分泌物(p=0.002)。

结论

不遵守PP是由于相互关联的因素共同作用,这些因素涉及单位的个人、组织和结构概况。因此,开展促进对专业人员进行指导的行动是必不可少的。

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