应用多方面的感染控制策略,以改善医院环境清洁质量
Hsin-An Lin1,2, Hsin-Chung Lin3,4, Lih-Chyang Chen5
1Division of Infection, Department of Medicine, Tri-Service General Hospital SongShan, Branch, National Defense Medical Center, Taipei City 114, Taiwan.
Heliyon
|February 6, 2024
概括
对环境服务工作者 (ESW) 的重复教育通过提高清洁性能和健康行为,显著降低了医院相关感染 (HAI) 率. 这种多方面的战略增强了ESW知识和合规性,从而改善了环境卫生.
科学领域:
- 防治和预防感染.
- 医疗保健 环境卫生 环境卫生
- 职业健康和安全问题 职业健康和安全问题
背景情况:
- 与医院相关的感染 (HAI) 仍然是一个重大问题,环境服务工作者 (ESW) 在预防中发挥着关键作用.
- 现有的感染控制政策至关重要,但对ESW的重复教育和培训可以进一步提高合规性并降低HAI率.
- 有限的研究已经探索了影响ESW清洁性能的健康行为决定因素,在教育干预措施后,这些干预措施包含了多方面的感染控制策略.
研究的目的:
- 评估教育干预与多面感染控制战略对ESW清洁性能健康行为决定因素的影响.
- 评估这项干预措施是否提高了ESWs的知识,感知到的好处和障碍,自我效能和健康素养.
- 为了确定干预对实际清洁性能的影响,用HAI相关的三酸腺素 (ATP) 水平来衡量.
主要方法:
- 一项涉及28名环境服务工作者 (ESW) 的研究,他们接受了多方面的感染控制教育干预.
- 在三个时间点评估ESW的知识,感知到的好处和障碍,自我效能,健康素养和清洁表现:干预前,干预后和3个月后续.
- 测量与HAI相关的腺三酸盐 (ATP) 水平,作为环境清洁的指标.
主要成果:
- 与HAI相关的腺三酸盐 (ATP) 水平在干预后和3个月后随访时相比,与干预前水平相比,观察到显著的降低 (p < 0.05).
- 干预后的ATP水平在第二次环境清洁后达到标准标准,平均得分为267.
- 高基线ATP水平与合格的干预后ATP水平积极相关,而高等教育和基线知识分数与合格的干预后ATP水平负相关.
结论:
- 采用多面感染控制策略的教育干预有效地增强了健康行为决定因素,并改善了ESW的医院清洁性能.
- 干预导致ATP水平显著降低,表明环境卫生得到改善.
- 进一步的研究可能会探讨教育干预如何影响ESWs中高等教育水平或较低基线HAI知识的ESW知识.
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