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通用防护措施:泰国医生和护士的知识、依从性及态度

Universal precautions: knowledge, compliance and attitudes of doctors and nurses in Thailand.

作者信息

Danchaivijitr S, Tantiwatanapaiboon Y, Chokloikaew S, Tangtrakool T, Suttisanon L, Chitreechuer L

机构信息

Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

出版信息

J Med Assoc Thai. 1995 Jul;78 Suppl 2:S112-7.

PMID:7561584
Abstract

A study on the knowledge, compliance and attitudes of doctors and nurses on "universal precautions" (U.P.) was done by questionnaire in April 1993. Four hundred and sixty-nine doctors and 4,554 nurses from 35 hospitals throughout Thailand responded. Almost all doctors and nurses understood the definition of U.P.. The latter were correctly applied in less than half of the personnel. A significant number of doctors and nurses required HIV screening tests and isolation of patients with HIV infections. Most doctors and nurses knew that sharp injuries were the most important cause of acquiring HIV infection in health-care settings. Those who are more vulnerable to injury would take more precautions. Up to a quarter of doctors and nurses did not fully understand how to use protective barriers properly. The practice of handwashing needs to be improved. Both doctors and nurses were willing to take care of HIV infected patients. They supported the application of U.P. as a safety measure. Welfare support for health-care workers who have contacted HIV at work is also expected.

摘要

1993年4月,通过问卷调查对医生和护士关于“普遍预防措施”(U.P.)的知识、依从性和态度进行了一项研究。来自泰国各地35家医院的469名医生和4554名护士做出了回应。几乎所有医生和护士都理解普遍预防措施的定义。但在不到一半的人员中这些措施得到了正确应用。相当数量的医生和护士要求对HIV进行筛查检测以及对HIV感染患者进行隔离。大多数医生和护士知道锐器伤是医疗环境中感染HIV的最重要原因。那些更容易受伤的人会采取更多预防措施。多达四分之一的医生和护士没有完全理解如何正确使用防护屏障。洗手的做法需要改进。医生和护士都愿意照顾HIV感染患者。他们支持将普遍预防措施作为一种安全措施加以应用。人们还期望为在工作中接触过HIV的医护人员提供福利支持。

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