討論區

參考文獻：WHO手部衛生指引介紹(WHO, 2005)

Allison, M. K., Alexis, M. E., & Victoria, J. F. (2004). SURVEY OF KNOWLEDGE, BELIEFS, AND PRACTICES OF NEONATAL INTENSIVE CARE UNIT HEALTHCARE WORKERS REGARDING NOSOCOMIAL INFECTIONS, CENTRAL VENOUS CATHETER CARE, AND HAND HYGIENE. Infection Control and Hospital Epidemiology, 25(9), 747.

OBJECTIVE: To assess the knowledge, beliefs, and practices of neonatal intensive care unit (NICU) healthcare workers (HCWs). DESIGN: Self-administered survey. SETTING: A 55-bed NICU. PARTICIPANTS: NICU HCWs (N = 215). RESULTS: The response rate was 68%. Ninety-two percent knew central venous catheters (CVCs) should be capped, clamped, or connected to running fluids at all times. Ninety-five percent knew when to change gloves. Thirty-one percent knew the recommended duration for handwashing. Most HCWs believed sterile technique in CVC care (96%), gloves (91%), and handwashing (99%) prevent nosocomial infection (NI). Sixty-seven percent used sterile barriers to insert CVCs, 76% reported wearing gloves, 81% reported routine handwashing, 35% knew that bacterial hand counts are higher with rings, 30% knew that long fingernails are associated with higher gram-negative bacterial hand contamination, and 35% knew that artificial fingernails are associated with higher gram-negative bacterial hand contamination. Most (93%) believed HCWs can affect outcomes of patients with NIs. Fewer believed rings (40%), artificial fingernails (61%), and long fingernails (48%) play a role in NIs, or that policies concerning number of rings (50%), cutting fingernails (35%), or prohibiting artificial fingernails (47%) would prevent NIs. Sixty-one percent of HCWs regularly wore at least one ring to work, 56% wore their fingernails shorter than the fingertip, and 8% wore artificial fingernails. CONCLUSIONS: A disconnect existed between CVC knowledge and beliefs and practice. HCWs did not know the relationship between bacterial hand counts and rings and fingernails, and did not

believe rings or long or artificial fingernails increased the risk of NIs.

大嬤翻譯

目的: 估計新生兒加護病房 (NICU) 醫療照護人員(HCWs)的知識、信念和策略。

設計: 自我管理的調查。

設定: 55 床的 NICU。參加者: NICU HCWs(N=215)

 

結果: 回應率是 68% 。92 % 知道中央靜脈導管 (CVCs) 應該被加蓋 、夾緊 、或連接到流動的液體。 95 % 知道何時該更換改變手套。 31% 知道推薦的期間 鷹洗手。 大多數的 HCWs 相信在 CVC 照料 (96%) 、手套 (91%) 和 handwashing(99%) 技術避免醫院感染 (NI) 。67 % 對插入 CVCs使用無菌防護76% 報告戴手套，81% 報告例行的 handwashing,35% 知道對戒指手的細菌計數比較高，30% 知道長的手指甲與較高的革蘭氏陰性菌污染有關， 和 35% 知道人工的手指甲與較高的革蘭氏陰性菌污染有關。 大部分 (93%) HCWs相信有 NIs 影響病人的預後。 比較少相信戒指 (40%) ，人工手指甲 (61%) 和長手指甲 (48%) 在 扮演NIs角色，或關於戒指 (50%)，銳利的手指甲 (35%), 或禁止人造的手指甲 (47%) 政策將會避免 NIs。 61 % HCWs 經常地戴至少一個戒指工作，56% 他們的手指甲超過指尖，而且 8% 戴人工指甲。

結論: 討論在 CVC 知識和信念、策略之間之問題。 HCWs 不知道細菌在手部菌落數和戒指和手指甲之間的關係, 而且不相信戒指或太長或人工手指甲增加了 NIs 的風險。

 

【附錄一】中的七、其他方面有特別提到