Epidemiology of isolation precautions.
Epidemiology of isolation precautions.
复制标题
隔离预防措施的流行病学。
DOI：
10.1086/646343
复制
发表时间：
1991
影响因子：
4.5
通讯作者：
M. Nettleman
中科院分区：
文献类型：
--
作者：
A. Pettinger;M. Nettleman
目的
调查隔离预防措施的依从性。
设计
一项在1989年10周内进行的前瞻性观察研究。参与者不知道这项研究。
设置
一所拥有900个床位的大学三级医疗机构中的24个床位的外科重症监护室的隔离室。
参与者
研究参与者包括在指定的15分钟间隔内进入病房的任何医护人员或访客。
结果
我们观察了467名受试者进入病房。严格隔离的依从性（65%）优于伤口/皮肤（40%）或排泄物/分泌物（36%）隔离（p <0.01）。来访者比医护人员更顺从（88%比41%; p小于0.01）。在房间里呆的时间越长，依从性越好（p <0.01）。与单独入组的受试者相比，入组受试者的依从性更高（51% vs 41%; p <0.05）。随着护士/患者比例的提高，护士的依从率也提高了（p = 0.14）。依从性与疾病的严重程度无关。多变量分析显示，在房间里呆的时间，作为一个访客，以及使用严格的隔离是依从性的独立预测因素。
结论
不遵守的情况很普遍。当以成本控制的名义对医生和护士的时间提出更高的要求时，必须考虑未被察觉的后果，例如因依从性降低而造成的后果。
OBJECTIVE
To investigate compliance with isolation precautions.
DESIGN
A prospective observational study carried out during ten weeks of 1989. Participants were unaware of the study.
SETTING
The isolation bay of a 24-bed surgical intensive care unit in a 900-bed university tertiary care facility.
PARTICIPANTS
Study participants included any healthcare worker or visitor entering the patient room during designated 15-minute intervals.
RESULTS
We observed 467 subjects entering patient rooms. Compliance with strict isolation (65%) was better than with wound/skin (40%) or excretion/secretion (36%) isolation (p less than .01). Visitors were more compliant than healthcare workers (88% versus 41%; p less than .01). Spending more time in the room was associated with improved compliance (p less than .01). Compliance was higher for subjects entering with a group compared with those entering alone (51% versus 41%; p less than .05). The compliance rate for nurses improved as the nurse/patient ratio improved (p = .14). Compliance was independent of severity of illness. Multivariate analysis revealed that the amount of time spent in the room, being a visitor, and use of strict isolation were independent predictors of compliance.
CONCLUSIONS
Noncompliance was widespread. When increased demands are placed on the time of physicians and nurses in the name of cost containment, unperceived consequences, such as those resulting from decreased compliance, must be considered.
粒细胞减少症患者简单保护性隔离价值的研究。
DOI：
10.1056/nejm198102193040802
发表时间：
1981
期刊：
The New England journal of medicine
影响因子：
--
作者：
Nauseef,WM;Maki,DG
通讯作者：
Maki,DG