Constructing effective methods to intercept an infection route through nurses' hands of at invasive treatment

1999年，在考虑侵入性治疗方面，采用原问卷对250名事业单位护理人员进行了调查，以掌握采血时特别是手套使用的实际情况。2000年，又在4所事业单位对905人进行了调查。98%的人是全职相当于10年左右的临床经验。结果显示，0.5%的受访者采血时总是戴手套，33%的人有时会根据场合戴手套，66.5%的人很少或从不戴手套。一些很少或从不戴手套的人认为手指的触觉对抽血很重要，如果行为得当他们不会被感染。临床经验与手套的使用有关；护理人员经验越少，他们就越有可能在不戴手套的情况下工作。在2001年，一项访问访问了7名男性病人(3名感染，4名未感染)，以提高护理对象对手套使用的认识。受访者年龄介乎20至70岁，有过戴手套护理人员的护理经验。结果，没有人对此表示不适。对感染者的问题是抽血、注射、滴注、换药和如厕。对那些没有感染的人就如厕、换药、吐血治疗、刷牙和气管内吸痰等问题进行了询问，包括改变姿势、洗头和床浴。结果发现，戴手套，将其视为机构保持清洁的晴雨表，如果护理人员在护理开始时解释，就足以理解并获得合作。

In 1999, in considering invasive treatment, a survey was conducted on 250 nursing staff in public institutions by using our original questionnaire to grasp the actual situation especially on the use of gloves on taking blood.In 2000, another survey was conducted in four more public institutions on 905 subjects.98% of them were full-time equivalent with about ten years of clinical experience.The result showed that 0.5% of respondents took blood always with gloves on, 33% of them sometimes wore gloves depending on occasions, 66.5% of them seldom or never wore gloves.Some of those who seldom or never wear gloves believe the sense of touch with their fingers is important to draw blood and they won' t be infected if they follow proper manner.Clinical experience relates to the use of gloves; the less experienced the nursing staff, the more they are likely to work without gloves. More clinically experienced staff tend to choose occasion to wear gloves.In 2001, an interview was conducted on seven male clients (3 were infected, 4 were not infected) to elicit awareness of care recipients about the use of gloves.The respondents were in their twenties to seventies with experience of care by nursing staff with gloves on. As a result, none of them expressed discomfort about it.The questions for those infected were on taking blood, injection, drip infusion, dressing change, and toilet assistance. Those without infection were asked on toilet assistance, dressing change, hematemesis treatment, brushing teeth, and intratracheal suction, including questions on changing posture, washing hair, and bed bath.It was found that wearing gloves, regarding it as a barometer for institutions to maintain cleanliness can be understood enough to obtain cooperation if an explanation at the beginning of the care is given by nursing staff.