实施感染控制联络护士方案以提高护士遵守标准预防措施和手部卫生的效果：一项准实验研究。
Effectiveness of implementing of an infection control link nurse program to improve compliance with standard precautions and hand hygiene among nurses: a quasi-experimental study.
机构信息
Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, PO Box 5138947-977, Tabriz, Iran.
出版信息
BMC Med Educ. 2023 Apr 19;23(1):265. doi: 10.1186/s12909-023-04208-1.
BACKGROUND
Standard precautions (SPs) including hand hygiene are considered fundamental protective measures to manage health care-associated infections (HCAIs) and to reduce occupational health hazards. The purpose of this research was to examine the effectiveness of an infection control link nurse (ICLN) program on compliance with SPs and hand hygiene among nurses.
METHODS
A quasi-experimental study with a pretest-post-test design was conducted with participating of 154 clinical nurses who worked in different wards of a tertiary referral teaching hospital in Iran. The intervention group (n = 77) had 16 infection control link nurses nominated. The control group (n = 77) received only the standard multimodal approach used in the hospital. Pre- and post-test assessment of compliance with standard precautions and hand hygiene compliance was performed via the Compliance with Standard Precautions Scale (CSPS) and the World Health Organization observational hand hygiene form. Two independent sample t-tests were used to examine differences between Compliance with Standard Precautions and hand hygiene Compliance among nurses in intervention and control group. Multiple linear regression analysis was used to assess the effect size.
RESULTS
After developing and implementing the infection control link nurse program, no statistically significant improvement was found in the Compliance with Standard Precautions (β = 5.18; 95% CI= -0.3-10.65, p = 0.064). An improvement in hand hygiene compliance was observed among nurses in the intervention group that improved statistically significant from 18.80% before the program to 37.32% 6 months after the program (β = 20.82; 95% CI 16.40-25.25, p < 0.001).
CONCLUSIONS
Given the continuing level of interest that exists in improving health care workers' hand hygiene practices, the findings of this study provide significant practical implications for hospitals seeking to improve compliance with hand hygiene among nurses, showing the effectiveness of using infection control link nurse program. Further research is needed to assess effectiveness of using infection control link nurse program to improve compliance with standard precautions.
背景
标准预防措施（SPs）包括手部卫生，被认为是管理医源性感染（HCAIs）和降低职业健康危害的基本保护措施。本研究的目的是检验感染控制联络护士（ICLN）计划对护士遵守 SPs 和手部卫生的效果。
方法
采用准实验研究设计，对伊朗一家三级转诊教学医院不同病房的 154 名临床护士进行了研究。干预组（n=77）有 16 名感染控制联络护士被提名。对照组（n=77）仅接受医院使用的标准多模式方法。通过遵守标准预防措施量表（CSPS）和世界卫生组织观察性手部卫生表格对标准预防措施和手部卫生依从性进行预测试和后测试评估。使用两独立样本 t 检验来检验干预组和对照组护士在遵守标准预防措施和手部卫生依从性方面的差异。使用多元线性回归分析评估效应大小。
结果
在制定和实施感染控制联络护士计划后，护士遵守标准预防措施的情况没有统计学上的显著改善（β=5.18；95%CI=-0.3-10.65，p=0.064）。干预组护士的手部卫生依从性有所提高，从计划前的 18.80%提高到计划后 6 个月的 37.32%，具有统计学意义（β=20.82；95%CI 16.40-25.25，p<0.001）。
结论
鉴于人们对提高医护人员手部卫生习惯的持续兴趣，本研究结果为医院提供了重大的实际意义，表明使用感染控制联络护士计划提高护士手部卫生依从性的有效性。需要进一步研究来评估使用感染控制联络护士计划提高标准预防措施依从性的效果。
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