Đánh giá tuân thủ rửa tay và một số yếu tố liên quan trong gói giải pháp dự phòng viêm phổi liên quan thở máy của điều dưỡng trực tiếp chăm sóc trẻ sơ sinh thở máy tại khoa sơ sinh Bệnh viện Từ Dũ năm 2021

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Minh Xuân Ngô, Đắc Minh Châu Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2023

Mô tả vật lý: tr.203

Bộ sưu tập: Metadata

ID: 339328

Thêm vào giỏ Liên kết toàn văn

- Mục tiêu: Đánh giá sự tuân thủ rửa tay và một số yếu tố liên quan của điều dưỡng trực tiếp chăm sóc trẻ sơ sinh thở máy tại khoa sơ sinh bệnh viện Từ Dũ trong năm 2021- Phương pháp: Nghiên cứu cắt ngang- Kết quả: Tỉ lệ tuân thủ rửa tay chung là 58,3%.Tỉ lệ tuân thủ rửa tay cao nhất vào các ca trực sáng (73,13%). Có mối liên quan giữa trình độ chuyên môn của điều dưỡng với sự tuân thủ rửa tay: các điều dưỡng có trình độ cao đẳng tuân thủ kém hơn so với các điều dưỡng có trình độ trung cấp và đại học. Tình huống không rửa tay xảy ra nhiều nhất là trước khi tiếp xúc với bệnh nhi (77,1%) trong khi đó trước khi hút đàm và trước khi cho bệnh nhi ăn là hai tình huống có sự vi phạm quy tắc rửa tay thấp nhất (tỉ lệ lần lượt là 21,1% và 29,6%). Nhìn chung, sự vi phạm rửa tay thường xảy ra vào ca chiều và ca tối hơn.- Kết luận: Sự tuân thủ rửa tay ở các điều dưỡng tại khoa sơ sinh bệnh viện Từ Dũ chưa cao, còn gần một nửa cơ hội rửa tay bị bỏ qua. Điều dưỡng trình độ cao đẳng tuân thủ kém hơn so với trình độ đại học và trung cấp (p = 0,002). Tình huống mà việc rửa tay thường xuyên bị bỏ qua là khi tiếp xúc với bệnh nhi. Các tình huống không tuân thủ thường xảy ra vào ca trực chiều và tối. Cần thêm các chương trình/biện pháp nhắc nhở và giám sát rửa tay nhất là trong các ca trực chiều và tối, các tình huống cần tiếp xúc với bệnh nhi. Cần tập huấn và tập huấn lại cho các điều dưỡng nhằm củng cố các quy trình của gói chăm sóc, nhất là ở nhóm điều dưỡng có trình độ cao đẳng.Abstract- Objective: Evaluatingthe handwashing compliance and related factors of nurses in NICU of Tu Du hospital in 2021.- Method: A cross - sectional study.- Result: The overall handwashing compliance rate was 58.3%. The highest handwashing compliance rate was on the morning shifts (73.13%). There was a relationship between nursing qualifications and handwashing compliance: nurses with associatedegreesare less compliant than nurses with vocational and bachelor degrees. Missed handwashing intances occurred themost before touching a pediatric patient (77.1%) while before sputum aspiration and before feeding were the two instances with the lowest handwashing violations (21.1% and 29.6%respectively). In general, the handwashing violations were more common in the afternoon and evening shifts.- Conclusion: The compliance with handwashing among the nurses at the NICU of Tu Du hospital is fairly low with nearly half of the handwashing instances missed. The compliance of the nurses withassociate degrees is worse thanthe ones with vocational and bachelor degrees (p = 0.002). The hand washing instances are missed beforetouching a pediatricpatient. The instances of non-compliance often occur during the afternoon and evening shifts. We suggest more measures to remind and supervise the handwashing, especially on the afternoon and evening shifts and before touching newborn patients. It is important to train and re - train the nurses to strengthen the bundle protocol adherence, especially in the group of nurses with associatedegrees. DOI: 10.59715/pntjmp.1.2.24

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