Khảo sát thực trạng và các yếu tố liên quan tới tuân thủ vệ sinh tay ngoại khoa bằng cồn tại Bệnh viện Đa khoa Đức Minh năm 2023=Survey of the situation and factors related to compliance with alcohol surgical hand hygiene at Duc Minh General Hospital in 2023

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Hòa Đặng, Thị Thanh Huyền Hà, Thị Hồng Hạnh Hứa

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.70-76

Bộ sưu tập: Metadata

ID: 243470

Thêm vào giỏ

Describe the current status of compliance with surgical hand hygiene procedures of medical staff at the surgical area of Duc Minh General Hospital in 2023. Determining some factors affecting compliance with surgical hand hygiene procedures of medical staff at the surgical area of Duc Minh General Hospital in 2023 Research objects and methods: Cross-sectional descriptive study, subjects were medical staff of Duc Minh General Hospital directly involved in surgery. Data collection techniques: The implementation of steps and operations in the process is checked in the yes or no box in the checklist. Each time, each supervisor observes 01 medical staff. The main researcher supervises and supports the supervisor during the observation process to ensure the quality of the collected data. Time for observations: Morning from 7:30 to 11:00
afternoon from 13:30 to 17:00. Cameras are placed in the corridor of the hand washing area of the operating rooms, and can observe all medical staff's hand washing operations. The research subjects do not know that they are being observed, ensuring high accuracy in the study. Observation via camera has been approved by the hospital leadership and the consensus of related departments and offices. Data processing: Data is entered directly into Excel. Data will be processed and analyzed using SPSS 20 software. A value of p <
0.05 is considered statistically significant. Results: Of the 242 medical staff who practiced surgical hand hygiene procedures, 174 medical staff complied with the procedure, accounting for 71.9%, of which the compliance rate for the hand washing stage with neutral soap was higher, accounting for 91.7%, and the hand rubbing stage with alcohol-based preparations accounted for 77.7%. Some factors affecting the compliance with surgical hand hygiene procedures of medical staff were analyzed by univariate regression: There was a statistically significant association between the compliance rate of surgical hand hygiene with seniority (PR = 1.88, p <
0.05), and professional qualifications (OR = 0.34, p <
0.05). Conclusion: The research results show that it is necessary to focus on training in surgical hand hygiene techniques using multi-modal strategies such as: installing televisions in the hallway of the hand washing area to show surgical hand washing videos
monitoring results from the network and GS KSNK staff are included in reminders during department meetings
KSNK develops policies to encourage staff to comply well.Vệ sinh tay là biện pháp đơn giản và hiệu quả trong việc giảm lây nhiễm chéo các tác nhân gây bệnh cho bệnh nhân. Tuy nhiên, thực trạng VST ngoại khoa tại nhiều cơ sở y tế tại Việt Nam chưa tuân thủ cao điều đó ảnh hưởng tới nguy cơ làm tăng tỷ lệ nhiễm khuẩn vết mổ. Nghiên cứu của chúng tôi thực hiện cắt ngang nhằm xác định được tỷ lệ tuân thủ VST ngoại khoa bằng chế phẩm chứa cồn. Bên cạnh đó đánh giá các yếu tố liên quan đến tỷ lệ vệ sinh tay ngoại khoa của bệnh viện. Phương pháp nghiên cứu Địa điểm, thời gian nghiên cứu: Khu vực rửa tay ngoại khoa hành lang phòng mổ thuộc khoa Gây mê hồi sức, Bệnh viện đa khoa Đức Minh. Thời gian từ tháng 4 đến tháng 8 năm 2023. Phương pháp, đối tượng nghiên cứu: Nghiên cứu mô tả cắt ngang, đối tượng là nhân viên y tế của bệnh viện đa khoa Đức Minh trực tiếp tham gia vào ca phẫu thuật. Kĩ thuật thu thập dữ liệu: Việc thực hiện các bước và thao tác trong quy trình được đánh dấu vào ô có hoặc không trong bảng kiểm. Mỗi lần mỗi GSV tiến hành quan sát 01 NVYT. Nghiên cứu viên chính, thực hiện giám sát và hỗ trợ GSV trong quá trình quan sát để bảo đảm chất lượng của số liệu thu thập được. Thời gian thực hiện các quan sát: Buổi sáng từ 7h30 đến 11h00
chiều từ 13h30 đến 17h00. Camera được đặt hành lang khu vực rửa tay của các phòng mổ, có thể quan sát được tất cả các thao tác VST của nhân viên y tế. Các đối tượng nghiên cứu không biết là mình đang được quan sát sẽ đảm bảo được độ chính xác cao trong nghiên cứu. Quan sát qua camera đã được sự chấp thuận đồng ý của lãnh đạo bệnh viện và sự đồng thuận của các khoa, phòng liên quan. Xử lý dữ liệu: Số liệu được nhập trực tiếp trên excel. Số liệu sẽ được xử lý và phân tích số liệu bằng phần mềm SPSS 20. Giá trị p <
0,05 được coi là có ý nghĩa thống kê. Kết quả nghiên cứu Trong số 242 lượt nhân viên y tế thực hành quy trình vệ sinh tay ngoại khoa có 174 lượt nhân viên y tế tuân thủ đúng quy trình chiếm 71,9%, trong đó tỷ lệ tuân thủ giai đoạn rửa tay với xà phòng trung tính cao hơn chiếm 91,7%, giai đoạn chà tay với chế phẩm chứa cồn chiếm 77,7%. Một số yếu tố ảnh hưởng đến việc tuân thủ quy trình vệ sinh tay ngoại khoa của nhân viên y tế phân tích hồi quy đơn biến: Có mối liên quan ý nghĩa thống kê giữa tỷ lệ tuân thủ VST ngoại khoa với thâm niên công tác (PR = 1,88, p <
0,05), trình độ chuyên môn (OR = 0,34, p <
0,05). Kết luận Kết quả nghiên cứu cho thấy cần tập trung vào đào tạo quy trình kĩ thuật vệ sinh tay ngoại khoa bằng nhiều chiến lược đa phương thức như: lắp ti vi tại hành lang khu vực rửa tay chiếu video quy trình rửa tay ngoại khoa
các kết quả giám sát từ mạng lưới, nhân viên GS KSNK đều được đưa vào nhắc nhở trong giao ban khoa
KSNK xây dựng chính sách thi đua cho các nhân viên tuân thủ tốt.

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