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Survey on Risks of Nosocomial Infection of Nurses Caring for Patients with Severe Hepatitis

Author: ZhengLiHua
Tutor: WuLanDi
School: Guangzhou Medical College
Course: Nursing
Keywords: Hospital Infection Blood-borne diseases Hand hygiene Occupational Protection Occupational exposure
CLC: R47
Type: Master's thesis
Year: 2010
Downloads: 82
Quote: 0
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Abstract


Objective To investigate the severe hepatitis, non-severe hepatitis and medical ICU patients spread of infectious disease risk differences; hepatitis, and in the internal medicine ward environment risk factors for occupational hospital infections; the Hepatitis Branch and medicine nurse infected with HBV virus itself, HBV vaccine immune status and self-awareness of differences and occupational health hospital infection knowledge - attitude - behavior (KAP), to provide a scientific basis for the proposed improvement measures targeted to improve the care of patients with severe hepatitis Nurses' Health. Method 1. Using a random sampling method retrospective analysis of severe viral hepatitis ward in a general hospital and discharged from January 2008 to December, non-severe viral hepatitis and medical illness in ICU patients (hereinafter referred to as the severe hepatitis group general liver The group, ICU group) past medical records of 60 copies of each. General access to three groups of patients, progress notes, checking a single laboratory patients carrying the pathogen test results, your doctor orders, ordered because single record care behavior of blood-borne diseases, the differences between the three groups. Read 2009 hepatitis ward and general medicine dispensing room air, surface, and nurse hand hygiene monitoring records, compare the qualification rate, the differences in the distribution of the number of bacteria and bacterial species. . Cluster sampling method to select the hospital five hepatitis Ward as the observation group of 60 nurses, using a random sampling method to select a total of 60 nurses in six wards of the hospital's infectious diseases medicine as a control group, inspection 2009 medical examination of the two groups of nurses serum hepatitis B two pairs, to understand HBV infection status and analysis between the two groups; to infection related KAP situation through self-designed questionnaire two groups of nurses occupational hospital. All data input the SPSS13.0 package for statistical processing and analysis results to the P lt; 0.05 for significant differences. Results 1. Severe hepatitis group age, length of stay and number of hospitalizations is greater than the S \u0026 P liver group, a significant difference (P lt; 0.05); severe hepatitis group HBV-DNA, HCV-RNA test results significantly higher than the ICU group, significant difference (P lt; 0.05); severe hepatitis group average day more than the S \u0026 P liver group indwelling pin number and the number of blood transfusion products, there is a significant difference (P lt; 0.01); severe hepatitis group more based care project may contact patient pollutants, there is the risk of infection, significantly more than the S \u0026 P liver group, there is a significant difference (P lt; 0.01). 2. Pass rate of two groups of environmental health indicators (air, physical table, hand) no significant difference (P gt; 0.05); hepatitis ward air bacteria wider distribution the surface fungal detection rate of 25%, greater than internal medicine group, but no significant difference (P gt; 0.05). The two pairs test results of the two groups of nurses significant difference (P lt; 0.05); hepatitis group of active hepatitis B vaccine and focus on hepatitis B check results than the number of medical group (P lt; 0.05); hepatitis group of nurses master vocational infections related knowledge, behavior score higher than the internal medicine group, a significant difference (P lt; 0.05). Conclusion Severe liver patients received more the invasive care operations, based care projects, the risk is greater than the spread of infectious diseases in general liver group; carry HBV, HCV and hepatitis virus replication levels significantly higher than those in the ICU; hepatitis Ward environmental strains wider distribution and a larger occupational risk of infection to the nurse; should establish the severe hepatitis ICU ward, environmental cleaning, disinfection and protection work well targeted according to the the different disease patients hospitalized environmental hygiene monitoring results; occupational protection required courses into medical schools, starting in school systems, occupational protection norms teaching, at the same time strengthen the training of all the nurses, especially nurses, to ensure occupational safety of health care.

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