在养老院实施多模式感染控制策略。
Implementation of a multimodal infection control strategy in the nursing home.
机构信息
The Research Institute of Nursing Science, College of Nursing, Seoul National University, Seoul, Republic of Korea 103, Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
College of Nursing, Dong-A University, Busan, Republic of Korea 32, Daesingongwon-ro, Seo-gu, Busan, 49201, Republic of Korea.
出版信息
Geriatr Nurs. 2021 May-Jun;42(3):767-771. doi: 10.1016/j.gerinurse.2021.03.020. Epub 2021 Apr 23.
The main cause of morbidity and mortality among residents of nursing homes (NHs) is healthcare-associated infections (HAIs). We conducted infection control intervention by applying the WHO multimodal strategy for one year from January to December 2018 in the one NH in South Korea. Healthcare workers (HCWs) in NH were observed by infection control nurse from February to December 2018. Hand hygiene (HH) compliance according WHO 5 moments and type of HH, glove use were measured as main outcomes. During the intervention period, a total of 1,461 cases were observed. HH compliance among HCWs increased from 12.6% to 55.2% after the intervention. According to WHO 5 moments, HH before touching a patient and after touching a patient saw significant improvements. Further, glove misuse decreased significantly from 45.9% to 25.4%. The multifaceted infection control program in the NH group significantly improved the HH compliance of HCWs.
养老院（NH）居民发病率和死亡率的主要原因是医疗保健相关感染（HAIs）。我们在韩国的一家 NH 应用世卫组织多模式策略进行了为期一年的感染控制干预，从 2018 年 1 月至 12 月。2018 年 2 月至 12 月，感染控制护士对 NH 的医护人员（HCWs）进行了观察。主要结果是测量符合世卫组织 5 个时刻的手部卫生（HH）依从性和 HH 的类型、手套使用情况。在干预期间，共观察到 1461 例。干预后，HCWs 的 HH 依从性从 12.6%增加到 55.2%。根据世卫组织 5 个时刻，在接触患者之前和之后的 HH 有了显著改善。此外，手套的误用从 45.9%显著减少到 25.4%。NH 组的多方面感染控制计划显著提高了 HCWs 的 HH 依从性。
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