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Authors
Advisor(s)
Abstract(s)
Enquadramento: As infeções associadas aos cuidados de saúde (IACS) são consideradas
um dos eventos adversos mais frequente nos países desenvolvidos. Em Portugal, a taxa de
infeção hospitalar é de 10,6%, estando acima da média europeia (6,1%). Estudos declaram
que aproximadamente 30% das infeções são evitáveis. Para prevenção de infeção é
comprovada a utilização dos EPI´s. No entanto, é verifica-se a resistência dos profissionais
quanto ao uso bem como a utilização adequada de algumas destas medidas como os EPI´s.
Objetivos: Determinar a adesão à utilização dos EPI´s e a sua adequação pelos
profissionais de saúde; e identificar os determinantes para utilização correta dos EPI´s
(variáveis sociodemográficas, profissionais e variáveis do contexto da prática).
Métodos: Realizou-se um estudo quantitativo, descrito-correlacional e transversal. A
amostra foi constituída por 156 profissionais de saúde do Centro Hospitalar do Baixo Vouga.
Como instrumento foi utilizado um questionário construído para estudo, a partir das normas
da DGS.
Resultados: Averiguámos que a adesão à utilização adequada dos EPI´s é de 25.3%. Os
participantes com mais conhecimentos demonstram uma melhor adequação do uso da
bata/avental e da proteção ocular (62,3%). Existe relação entre a formação e a adesão ao
uso adequado dos EPI´s somente na dimensão "bata/avental". Os assistentes operacionais
são os que mais usam as luvas de maneira adequada (62,1%) e a bata/avental (50%),
sendo a categoria médica com menor percentagem para utilização adequada da bata
(6,5%). O grupo menos experiente demonstrou uma fraca utilização das mascara/respirador.
Os serviços de medicina exibem uma boa utilização de luvas (46,9%) relativamente aos
serviços cirúrgicos
Conclusões: A adesão total á boa utilização dos EPI e para cada EPI representa somente
um quarto da amostra podendo ser insuficiente para prevenção e controlo de infeção.
Palavras-chaves: Infeção Hospitalar, IACS, EPI´s, Enfermagem, controlo e prevenção da
infeção.
Abstract Background: Health care associated infections (IACS) are considered one of the most frequent adverse events in developed countries. In Portugal, the hospital infection rate is 10.6%, being above the European average (6.1%). Studies report that approximately 30% of infections are preventable. To prevent infection, the use of PPE is proven. However, it is verified the resistance of the professionals regarding the use as well as the adequate use of some of these measures as the PPE's. Objectives: To determine adherence to the use of PPE and its adequacy by health professionals; And identify the determinants for the correct use of PPE (sociodemographic, professional variables and variables of the practice context). Methods: A quantitative, descriptive-correlational and cross-sectional study was performed. The sample consisted of 156 health professionals from the Hospital Center of Baixo Vouga. As instrument, a questionnaire built for study was used, based on DGS standards. Results: We found that adherence to adequate use of PPE is 25.3%. The participants with more knowledge demonstrate a better suitability of the coat / apron and eye protection (62.3%). There is a relationship between training and adherence to the proper use of PPE only in the "jacket / apron" dimension. The operating assistants are those who use gloves the most (62.1%) and the coat / apron (50%), the medical category with the lowest percentage for adequate use of the gown (6.5%). The less experienced group demonstrated poor mask / respirator utilization. The medical services show a good use of gloves (46.9%) in relation to surgical services. Conclusions: The total adherence to good use of PPE and for each PPE represents only a quarter of the sample and may be insufficient for prevention and control of infection. Key words: Hospital Injury, IACS, EPI's, Nursing, control and prevention of infection.
Abstract Background: Health care associated infections (IACS) are considered one of the most frequent adverse events in developed countries. In Portugal, the hospital infection rate is 10.6%, being above the European average (6.1%). Studies report that approximately 30% of infections are preventable. To prevent infection, the use of PPE is proven. However, it is verified the resistance of the professionals regarding the use as well as the adequate use of some of these measures as the PPE's. Objectives: To determine adherence to the use of PPE and its adequacy by health professionals; And identify the determinants for the correct use of PPE (sociodemographic, professional variables and variables of the practice context). Methods: A quantitative, descriptive-correlational and cross-sectional study was performed. The sample consisted of 156 health professionals from the Hospital Center of Baixo Vouga. As instrument, a questionnaire built for study was used, based on DGS standards. Results: We found that adherence to adequate use of PPE is 25.3%. The participants with more knowledge demonstrate a better suitability of the coat / apron and eye protection (62.3%). There is a relationship between training and adherence to the proper use of PPE only in the "jacket / apron" dimension. The operating assistants are those who use gloves the most (62.1%) and the coat / apron (50%), the medical category with the lowest percentage for adequate use of the gown (6.5%). The less experienced group demonstrated poor mask / respirator utilization. The medical services show a good use of gloves (46.9%) in relation to surgical services. Conclusions: The total adherence to good use of PPE and for each PPE represents only a quarter of the sample and may be insufficient for prevention and control of infection. Key words: Hospital Injury, IACS, EPI's, Nursing, control and prevention of infection.
Description
Keywords
Comportamento cooperativo Controle da infecção Equipamentos de protecção Gestão de riscos Gestão da segurança Infecção cruzada Pessoal de saúde Segurança do doente Cooperative behavior Cross infection Health personnel Infection control Patient safety Protective devices Risk assessment Safety management