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

1999年，在考虑有创治疗时，为掌握实际情况，特别是采血时手套的使用情况，采用我院原有问卷对250名事业单位护理人员进行了调查，2000年，另一项调查在另外四个公共机构进行，涉及905名受试者，其中98%是全职-结果显示，0.5%的被调查者采血时始终戴手套，33%的被调查者有时根据不同场合戴手套，66.5%的人很少或从不戴手套，部分很少或从不戴手套的人认为手指的触觉对采血很重要，只要操作得当就不会被感染。护理人员的经验越少，他们越可能不戴手套工作。临床经验较丰富的医务人员倾向于选择戴手套的场合。2001年对7名男性就诊者进行了访谈（3人受感染，4人未受感染），以提高护理对象对使用手套的认识。受访者年龄在20至70岁之间，有护理人员戴手套护理的经验。结果，感染者的问题是抽血、打针、输液、换药、帮助如厕。对无感染者进行了如厕协助、换药、呕血处理、刷牙、肠套叠吸引等问题的询问，包括改变体位、洗头、床上洗浴等问题。结果发现，戴手套作为机构保持清洁的晴雨表，如果护理人员在护理开始时给予解释，就可以充分理解，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.