頁籤選單縮合
題 名 | 護理人員對洗手相關知識、行為與態度之探討=A Survey of Knowledge and Attitude towards Handwashing among Nurses |
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作 者 | 林金絲; 葉玉蓉; 饒淳英; 黃忠智; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 11:5 2001.10[民90.10] |
頁 次 | 頁311-322 |
分類號 | 419.38 |
關鍵詞 | 洗手; 院內感染; 護理人員; Handwashing; Nosocomial infection; Nurses; |
語 文 | 中文(Chinese) |
中文摘要 | 雖然已有許多研究文獻證實加強洗手可以有效減少手部附著的潛在性致病菌及減少院內感染的罹病率和死亡率,同時醫療人員也普遍認同洗手是預防院內感染最簡單、最經濟且最有效的方法。但是無可否認的洗手在醫療機構中執行情形卻不理想。因此本院感管會即針對綜合加護中心、急診室、門診和一般病房之護理人員施予洗手繼續教育,並於課後進行問卷調查,結果共得到有效問卷 166 份。工作年資未滿兩年者佔 60.2%。對於洗手相關知識的測試中,平均每人得分 79.5 分。利用單向變異數分析檢定後,發現加護中心和一般病房護理人員的得分明顯都比門診高 (F=8.33,P<0.01)。所有的護理人員,皆一致認為其洗手的目的是為避免遭受感染和預防交互感染。洗手的時機是以接觸病人分泌物和排泄物後、如廁後和接觸病人後為主。無經常洗手的主要原因有工作太,忙碌、洗手臺離病床太遠和洗手劑會對手造成過敏或刺激性。所有受測者均認為提供充裕的洗手設備和在職教育是提高洗手率最有效的措施。未來感管人員應針對各單位所面對的問題,以影響洗手行為的模式為理論基礎,提出不同方式的具體可行改善措施,確實提高各單位醫療人員的洗手率,進而降低院內感染發生率。(感控雜誌2001;11:311-22) |
英文摘要 | It has been well recognized that frequent handwashing decreases the number of potential pathogens that adhere to the hands, and the morbidity and mortality of nosocomial infections. It is a simple, low cost and the most effective method to prevent nosocomial infections. However, the compliance of the hospital staff in handwashing is still very poor. We provided an educational course of the proper handwashing procedure for the nurses in the intensive care unit (ICU), emergency room, outpatient department (OPD), and the general wards at our hospital, followed by questionnaires. 166 effective responses to the questionnaires were analyzed. 60.2% of the respondents had work experience of less than 2 years. The mean test score for the correct answers was 79.5. The score was significantly higher for that of the nurses in the ICU and the wards than that of the nurses in the OPD. Handwashing was done after manipulation of patients' secretions and excretions, as well as after the toilet and patient contact. The reasons for not washing hands include: "too busy" (88.6%), "the sink is too far from the patient's bed" (45.8%), and" the cleansing solution is too irritating to the hands" (31.3%). All those tested recognize that the provision of more handwashing facilities and education is the most effective way of improving the compliance of the nursing staff. Continuous emphasis of this simple procedure, coupled with the application of knowledge in behavioral modification may improve the compliance of the medical personnel in the handwashing and decrease the incidence of nosoco-mial infections. (Nosocom Infect Control d 2001;11:311-22) |
本系統中英文摘要資訊取自各篇刊載內容。