感染预防行为和医疗重症监护室护士的看法
Frank A Drews1,2, Jeanmarie Mayer2, Molly Leecaster2
1Department of Psychology, University of Utah, Salt Lake City, UT, USA.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|November 27, 2025
概括
在COVID-19大流行期间,重症监护护士的口罩使用量很高,但对眼睛保护的遵守率很低. 感知到的风险影响了这些感染预防行为,突出了医疗保健环境需要改进的领域.
科学领域:
- 医疗保健流行病学 医疗保健流行病学
- 预防和控制感染.
- 临界护理护理重症监护护理
背景情况:
- 严重急性呼吸道综合征冠状病毒2 (SARS-CoV-2) 流行病需要在急性护理中采取严格的感染预防措施.
- 推的做法包括对COVID-19患者进行通用源控制 (戴口罩,保护眼睛) 和使用呼吸器.
研究的目的:
- 评估COVID-19大流行期间重症护理护士的感染预防行为,特别是口罩和眼睛保护的使用.
- 确定正确使用个人防护设备 (PPE) 的障碍.
- 探索疫苗接种对自我报告行为和感知风险的影响.
主要方法:
- 一项混合方法研究,涉及直接观察和在医疗重症监护室 (ICU) 的重症监护护士的自我报告调查.
- 对口罩和眼睛保护协议的遵守情况的评估.
- 在各种环境中分析SARS-CoV-2传播的感知风险.
主要成果:
- 护士对口罩的坚持很高,但对眼睛保护的坚持明显较低 (观察到在6英尺范围内使用20%).
- 眼睛保护的使用有所不同,随着患者的增加而增加,但随着同事的接近而减少.
- 自我报告的保护性行为在接种疫苗后减少,尽管公共口罩仍然很高.
- 护士认为社区和患者护理领域的SARS-CoV-2风险高于同事或家庭成员.
结论:
- 感知SARS-CoV-2暴露的风险是预防感染行为的一个关键决定因素.
- 患者与同行互动之间的感知风险差异为增强感染控制策略提供了见解.
- 这些发现适用于改善在流行病和流行病环境中的感染预防,包括对多种耐药生物的预防.
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