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沙特阿拉伯王国北部地区新冠病毒疫情前线护士的风险评估与管理。

Risk assessment and management among frontline nurses in the context of the COVID-19 virus in the northern region of the Kingdom of Saudi Arabia.

机构信息

Deparment of Medical-Surgical, College of Nursing, University of Hail, Applied Health Sciences Building, Building 9, Altqutta, Alqutta Road, Hail City, Saudi Arabia.

Maternal and Child Department, College of Nursing, University of Hail, Applied Health Sciences Building, Building 9, Altqutta, Alqutta Road, Hail City, Saudi Arabia.

出版信息

Appl Nurs Res. 2021 Apr;58:151410. doi: 10.1016/j.apnr.2021.151410. Epub 2021 Feb 11.

Abstract

OBJECTIVE

This study aimed to assess the post-contact risk of nurses who provide care for patients diagnosed with COVID-19.

METHODS

This investigation employed a quantitative-descriptive design. The study sample was comprised of the frontline nurses in the COVID-19 center hospitals in the northern part of Saudi Arabia. Snowball sampling was used, resulting in 80 frontline nurses. A survey using a self-administered questionnaire in a Google form was employed to collect the data, which was collected from May 20 through June 25, 2020.

RESULTS

Some of the study participants were reported to have a history of both staying in the same household with each other (35%) and of traveling with a confirmed COVID-19 patient (20%). These participants were considered as community exposed to COVID-19. There were 8.8% who were classified as high risk due to failure in removing and replacing personal protective equipment (PPE); 6.3% were at high risk for not performing hand hygiene before and after touching COVID-19 patients, and 5% did not follow the recommended guidelines in performing hand hygiene after touching the patients' surroundings. In addition, 3.8% of the participants had an accident related to biological material, such as with splashes of biological fluid (in the eyes). These nurses were classified as high risk for COVID-19 virus infection, CONCLUSION: This study identifies practices that need improvement in combatting this virus. Since policies and guidelines may not always be optimal in all settings, a tailor-fitted guideline is appropriate. Nurse leaders, for example, need to establish an infection control system that provides real-time monitoring and facilitates immediate correction for nurses. Doing so will provide the nurses with a continuous awareness of predisposing themselves to acquiring the virus.

摘要

目的

本研究旨在评估为 COVID-19 患者提供护理的护士在接触后的风险。

方法

本研究采用定量描述性设计。研究样本由沙特阿拉伯北部 COVID-19 中心医院的一线护士组成。采用雪球抽样,共纳入 80 名一线护士。使用 Google 表单中的自我管理问卷进行调查,以收集数据,数据收集时间为 2020 年 5 月 20 日至 6 月 25 日。

结果

一些研究参与者报告说,他们有与确诊 COVID-19 患者同住(35%)和与确诊 COVID-19 患者一起旅行(20%)的经历。这些参与者被认为是接触过 COVID-19 的社区人群。由于未能正确脱下和更换个人防护设备(PPE)而被归类为高风险的参与者有 8.8%;6.3%的参与者在接触 COVID-19 患者前后没有进行手部卫生,5%的参与者在接触患者周围环境后没有按照推荐的手部卫生指南进行操作。此外,3.8%的参与者发生过与生物材料(如生物体液飞溅)相关的事故。这些护士被归类为感染 COVID-19 病毒的高风险人群。

结论

本研究确定了在抗击这种病毒方面需要改进的措施。由于政策和指南在所有环境中并不总是最佳的,因此需要制定定制化的指南。例如,护士领导者需要建立感染控制系统,提供实时监测,并便于及时纠正护士的操作。这样做将使护士不断意识到自己有感染病毒的风险。

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