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[重症监护病房医护人员应对生物事故的经验。]

[Experiences of health professionals with biological accidents in an Intensive Care Unit.].

作者信息

Hernández Murcia Paula Milena, Ordoñez Hernández Cecilia Andrea, Saavedra Conde Lizardo, Ordoñez-Mora Leidy Tatiana

机构信息

Institución Universitaria Escuela Nacional del Deporte. Cali. Colombia.

Universidad del Valle. Cali. Colombia.

出版信息

Rev Esp Salud Publica. 2023 Jan 23;97:e202301005.

PMID:36700293
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10541243/
Abstract

OBJECTIVE

Health personnel are at greater risk of contracting infections related to their work within the group of workers with biological risk, and these mishaps can affect their physical and mental health. therefore, the objective of this paper was to understand the experience of health professionals in an intensive care unit (ICU) in Cali (Colombia) who suffered biological accidents.

METHODS

Explanatory sequential mixed design, it was developed in two phases, the first of a descriptive quantitative type and the second of a qualitative type with a phenomenological approach. Initially the knowledge about biosafety in 40 workers was characterized through a survey and a in the first contact, five participants were chosen who shared their experiences with biological accidents, through in-depth interviews. The statistical analysis was descriptive, the quantitative variables were presented through measures of central tendency and the qualitative variables through frequency and percentage.

RESULTS

39% of the professionals knew the biosafety barriers, 35% identified the pathogenic pathways, 34% were right about the protection measures, 51% answered correctly about hand washing, 70% answered adequately about biological waste, and only 38% recognized the procedure for reporting an accident.

CONCLUSIONS

A low level of knowledge is identified on issues related to biosafety principles, transmission routes, hand sanitizing agents, and procedures to follow in the event of a biohazard accident. In addition, ICUs are identified as high-risk places. biological that cause feelings of fear, anguish, and stress that are added to the long working hours.

摘要

目的

在面临生物风险的工人群体中,卫生人员在工作中感染相关疾病的风险更高,这些意外事件会影响他们的身心健康。因此,本文的目的是了解哥伦比亚卡利一家重症监护病房(ICU)中遭遇生物事故的卫生专业人员的经历。

方法

采用解释性序列混合设计,分两个阶段进行,第一阶段为描述性定量研究,第二阶段为采用现象学方法的定性研究。最初,通过一项调查对40名工作人员的生物安全知识进行了特征描述,在首次接触时,选择了5名分享生物事故经历的参与者,通过深入访谈进行研究。统计分析为描述性分析,定量变量通过集中趋势度量呈现,定性变量通过频率和百分比呈现。

结果

39%的专业人员了解生物安全屏障,35%的人识别出致病途径,34%的人对防护措施的回答正确,51%的人正确回答了洗手问题,70%的人对生物废物的回答正确,只有38%的人认可事故报告程序。

结论

在生物安全原则、传播途径、手部消毒剂以及生物危害事故发生时应遵循的程序等方面,发现知识水平较低。此外,重症监护病房被确定为高风险场所。生物因素会引发恐惧、痛苦和压力情绪,再加上工作时间长。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54f6/10541243/5ed5917a9cff/1135-5727-resp-97-e202301005-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54f6/10541243/5ed5917a9cff/1135-5727-resp-97-e202301005-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54f6/10541243/5ed5917a9cff/1135-5727-resp-97-e202301005-g005.jpg

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Trends in the use of personal protective equipment by health care workers who experienced occupational accidents in Brazil.巴西发生职业事故的医护人员使用个人防护装备的趋势。
Rev Bras Med Trab. 2021 Feb 11;18(3):322-329. doi: 10.47626/1679-4435-2020-567.
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[Psychosocial determinants associated to work stress pathologies in administrative staff in an EPS of Bogotá].
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Risk of professional accidental exposure to biological agents in health care workers: a retrospective analysis carried out in a southern Italian tertiary hospital.医护人员职业性意外接触生物制剂的风险:在意大利南部一家三级医院进行的回顾性分析
Infez Med. 2019 Mar 1;27(1):40-45.
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