检查门诊患者的手部卫生行为及其与COVID-19感染预防措施的关系
S Gaube1, K Walton2, A-K Kleine3
1Global Business School for Health, University College London, London, UK.
The Journal of hospital infection
|August 27, 2023
概括
门诊手部卫生率较低,记忆和情绪影响行为. 干预措施应侧重于改善患者的手部卫生,以加强诊所的感染预防.
科学领域:
- 预防和控制感染的预防和控制.
- 患者安全 患者安全
- 健行护理服务提供者
背景情况:
- 越来越多的门诊护理需求增加了感染传播的风险.
- 关于在门诊环境中预防和控制感染 (IPC) 的研究有限,特别是从患者的角度来看.
研究的目的:
- 在COVID-19大流行期间调查门诊患者的手部卫生行为.
- 使用理论领域框架 (TDF) 确定手部卫生的决定因素.
- 探索手部卫生,其他IPC措施,以及疫苗接种状况等患者因素之间的关联.
主要方法:
- 在一家诊所对手部卫生进行观察性研究 (n=618).
- 在五个诊所 (n=300) 使用基于TDF的问卷调查手部卫生实践调查.
- 评估COVID-19的IPC合规性,疫苗接种情况,风险感知和疫苗犹.
主要成果:
- 观察到的手部卫生率很低 (12.8%).
- 接受调查的患者在进入诊所时报告了更高的手部消毒率 (67.3%).
- 记忆,注意力,决策过程和情绪显著预测了手部卫生. 在手部卫生和COVID-19 IPC遵守之间发现了积极的关联,但不是疫苗接种状态.
结论:
- 干预措施应针对记忆和认知过程,以改善门诊手部卫生.
- 进一步的研究对于提高IPC和门诊设施患者安全至关重要.
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