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首页> 外文期刊>Infection control and hospital epidemiology >Patterns of handwashing behavior and visits to patients on a general medical ward of healthcare workers.
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Patterns of handwashing behavior and visits to patients on a general medical ward of healthcare workers.

机译：洗手行为的模式以及在医护人员的普通医疗病房中就诊的情况。

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OBJECTIVE: To obtain accurate data regarding the handwashing behavior and patterns of visits to patients by healthcare workers (HCWs). METHODS: All visits by HCWs to selected patient rooms were recorded for 3 days and 2 nights. Additionally, 5 nurses were observed for 1 day each and 2 nurses were observed for 1 night each. Nurses were observed for their entire shifts and all of their activities were recorded. SETTING: A general medical ward in a tertiary-care hospital. PARTICIPANTS: Convenience samples of HCWs and patients. RESULTS: Patients were visited every 25 minutes on average. Monitoring rooms and observing nurses resulted in similar rates of patient visits. The highest level of risk was contact with body fluids in 11% of visits and skin in 40% of visits. The overall rate of handwashing was 46%; however, the rate was higher for visits involving contact with body fluids (81%) and skin (61%). Nurses returned immediately to the same patient 45% of the time. The rate of handwashing was higher for thelast of a series of visits to a patient's room (53% vs 30%, P < .0001). CONCLUSIONS: Nurses adjusted their handwashing rates in accordance with the risk level of each visit. Monitoring patient rooms and observing nurses yielded similar estimates of patient visits and proportions of visits involving contact with skin or body fluids. Education programs about hand hygiene may be more effective if patterns of care and levels of risk are incorporated into recommendations.
机译：目的：获得有关洗手行为和医护人员就诊方式的准确数据。方法：医护人员对选定患者病房的所有就诊记录为3天2夜。另外，观察到5名护士，每人1天，观察2名护士，每人1晚。观察护士的整个班次，并记录所有活动。地点：三级医院的普通病房。参与者：医护人员和患者的便利样本。结果：平均每25分钟就诊一次。监视室和观察护士的患者就诊率相似。最高风险是在11％的患者中接触体液，在40％的患者中接触皮肤。总体洗手率为46％;但是，接触体液（81％）和皮肤（61％）的访问率更高。护士立即有45％的时间返回同一名患者。在对患者房间进行的一系列访问中，最后一次洗手的比率较高（53％对30％，P <.0001）。结论：护士根据每次就诊的风险水平调整洗手率。监视病房并观察护士得出的患者访视估计以及涉及皮肤或体液接触的访视比例相似。如果将护理方式和风险水平纳入建议，则有关手卫生的教育计划可能会更加有效。

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