卫生和护理工作者对个人防护设备和COVID-19的身体距离的看法:定性证据综合
Dachi I Arikpo1, Afiong O Oku2, Okwu A Onyema3
1Cochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria.
Journal of public health in Africa
|May 13, 2025
概括
卫生和护理工作者在COVID-19护理中重视个人防护设备 (PPE),但身体距离的遵守受到系统性问题的阻碍. 解决这些障碍是有效预防和控制感染 (IPC) 的关键.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健管理的管理
背景情况:
- 尽管已证明有效,但卫生和护理工作者对个人防护设备 (PPE) 和身体距离 (IPC) 预防和控制COVID-19感染的使用较低.
- 了解医疗保健专业人员的看法和经验对于改善遵守IPC措施至关重要.
- 实施IPC指南的持续挑战凸显了医疗保健机构内的系统性障碍.
研究的目的:
- 在COVID-19期间对卫生和护理工作者对PPE和身体距离的看法和经验进行定性证据的综合分析.
- 确定影响感染预防和控制 (IPC) 策略的吸收和遵守因素.
- 为改善IPC在医疗保健中的规划和实施提供见解.
主要方法:
- 进行了对初级定性研究的系统审查.
- 进行了广泛的电子数据库搜索,并由信息科学家对策略进行了同行审查.
- 包含了30项定性研究,并采用了主题综合,并使用GRADE-CERQual方法评估结果.
主要成果:
- 15个分析主题出现,表明卫生和护理工作者认识到个人防护设备的价值,特别是在面临感染风险和保护家庭的愿望时.
- 遵守物理距离受到诸如服务交付需求,临床工作流程,缺乏隔离视觉线索和物理基础设施限制等因素的阻碍.
- 既定IPC指南与其在医疗环境中的实际实施之间存在很大的差距.
结论:
- 感染预防和控制 (IPC) 指南及其实地应用之间的差异构成了卫生系统的重大障碍.
- 医疗保健系统必须解决系统性问题,以改善一致使用个人防护设备和身体距离.
- 本综述为优化IPC策略在各种医疗保健环境中提供了关键的见解.
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