加護病房護理人員對多重抗藥性鮑氏不動桿菌認知及防護遵從性研究

A Survey on Intensive Care Unit Nurses' Knowledge and Compliance on Precautions of Multidrug-resistant Acinetobacter baumannii infections

10.6530/YYN/2016.1.2

李彩緣(Chai-Yuan Lee)；莊銘隆(Ming-Lung Chuang)；李秋香(Chiu-Hsiang Lee)

多重抗藥性 ； 鮑氏不動桿菌 ； 認知 ； 防護遵從性 ； multidrug-resistant ； acinetobacter baumannii ； knowledge ； compliance with precautions

源遠護理

10卷2期（2016 / 06 / 01）

25 - 32

繁體中文

多重抗藥性鮑氏不動桿菌（MDRAB）為醫學中心加護病房醫療照護相關感染常見菌株前三名。抗藥性菌種感染不僅增加疾病治療的困難，也增加醫療成本及病人經濟負擔，嚴重感染可能導致的死亡率高達46-63.9%。本研究採描述相關性研究設計，目的在探討加護病房護理人員對多重抗藥性鮑氏不動桿菌認知與感染防護遵從性情形，以中部某醫學中心加護病房護理人員為研究對象，共收案136位，進行結構性問卷調查，以SPSS17.0統計軟體使用百分率、t-test、單因子變異分析及廻歸分析進行資料分析。研究結果發現護理人員對MDRAB認知及防護遵從性均偏正向。而MDRAB照顧頻率及是否參與相關教育對其認知有影響，MDRAB照顧頻率越高其認知越高（p = .017）；曾參與在職教育的護理人員對MDRAB認知及防護遵從性顯著高於未參與者；又護理人員對MDRAB認知愈高其防護遵從性也愈高（r =.346），護理人員對MDRAB認知每增加1分，防護遵從性增加0.18分。藉由在職教育訓練提升護理人員對MDRAB認知，可提升其防護遵從性。研究結果提供臨床實務中推動預防相關感染措施之參考，以維護病人安全，提升醫療品質。

This is a descriptive correlational study to describe the knowledge and compliance of ICU nurses on precautions of Multidrug-resistant Acinetobacter baumannii (MDRAB) infection. MDRAB is one of the three most commonly isolated pathogens in intensive care units. Infections of multiple drug resistant pathogens have resulted in treatment challenges and financial burdens, and mortality rates were between 46-63.9 %. A convenient sample of 136 nurses was recruited from a medical center in central Taiwan. Data was collected using a structured questionnaire. Data analysis used SPSS 17.0. Percentile, t-test, ANOVA and regression analysis were used to test the study hypothesis. The results showed that ICU nurses had good knowledge and compliance on precautions of MDRAB infection. The nurses' knowledge was related to their care experience and the in-service received on MDRAB precautions. The higher frequency of taking care of MDRAB infected patients, the better knowledge they have (p = .017). The nurse who took the MDRAB related in-service educations had better knowledge than those who did not. There's a positive correlation (r = .346) between knowledge and compliance on precautions of MDRAB infections. The higher the knowledge is the better the compliance. For every 1 score increase in the knowledge of MDRAB, there was 0.18 score increase in protection compliance. The compliance may be increased by in-service education on the knowledge of MDRAB. This study results may be used as a reference for developing strategies on the prevention of MDRAB infection, protection of patient safety, and increase care quality.

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