隔离提示图对急诊科应对疑似传染病患者的防护效果研究  

Protective effect of isolation tips on patients with suspected infectious diseases of emergency department

作　　者：王欣 黄胜琪 王颖[1] 张永鸾 吴秀娟 

机构地区：[1]天津市第四中心医院急诊科,天津300140

出　　处：《中华医院感染学杂志》2017年第18期4248-4251,共4页Chinese Journal of Nosocomiology

摘　　要：目的探究急诊科应用隔离提示图应对疑似传染病患者的防护效果。方法选取医院急诊科55例医护人员为研究对象,遵从"标准预防"与"基本疾病传播途径的预防"的隔离原则,结合医院实际,制成隔离提示图,并对隔离提示图中相关隔离防护知识及正确应用进行培训;比较隔离提示图使用前(2015年1-12月)及使用后(2016年1-12月)急诊科医护人员对医院感染隔离知识的掌握程度、感染隔离操作流程的正确依从性以及接触疑似传染病感染患者后急诊科医护人员感染率。结果隔离提示图使用后急诊科医护人员对医院感染隔离知识的掌握程度98.18%明显高于使用前34.55%,差异有统计学意义(χ~2=5.793,P<0.05),医护人员对感染隔离操作流程的依从性为94.55%,显著高于使用前依从性30.91%,差异有统计学意义(χ~2=7.822,P<0.05);隔离提示图使用后医院急诊科接触疑似传染病感染患者的医护人员感染率为3.64%,明显低于使用前感染率14.55%,差异有统计学意义(χ~2=4.916,P<0.05)。结论隔离提示图的使用有利于医护人员对医院感染隔离知识掌握,提高对医院感染隔离流程操作的依从性,从而有效降低医院感染率,对急诊科医护人员有着良好防护作用。OBJECTIVE To explore the protective effect of isolation tips on patients with suspected infectious diseases of emergency department.METHODS Totally 55 health care workers of emergency department were recruited as the study objects.In combination with actual status of hospitals,the isolation tips were made by following the isolation principles of′standard prevention′and′prevention of basic transmission routes of diseases′,the training was conducted for the related isolation and protection knowledge about the isolation tips and its correct application.The awareness of knowledge of isolation,correct compliance of isolation operation procedures and infection rate of health care workers after contacting with patients with suspected infectious diseases were observed and compared before（Jan-Dec,2015）and after（Jan-Dec,2016）the use of the isolation tips.RESULTS The awareness of knowledge of isolation of nosocomial infection was 98.18% after the use of the isolation tips,significantly higher than 34.55% before the use of the isolation tips（χ^2=5.793,P〈0.05）.The compliance of the isolation operation procedures of the health care workers was 94.55% after the use of the isolation tips,significantly higher than30.91% before the use of the isolation tips（χ^2=7.822,P〈0.05）.The infection rate of the health care workers contacting with the patients with suspected infectious diseases was 3.64% after the use of the isolation tips,significantly lower than 14.55% before the use of the isolation tips（χ^2=4.916,P〈0.05）.CONCLUSION The isolation tips may facilitate the awareness of knowledge of infection isolation of the health care workers and improve the compliance of the isolation operation procedures so as to effectively reduce the incidence of nosocomial infections and achieve significant protective effect on the health care workers of emergency department.

关 键 词：隔离提示图 急诊科室 疑似传染病 感染 防护效果 

分 类 号：R183[医药卫生—流行病学]