Zühal ARTUVAN, Sabriye Beril UZUN, Hacer ÇETİN

Bir Devlet Hastanesi Çalışanlarının COVID-19 Pandemisinde Kişisel Koruyucu Ekipman Kullanımı ve El Hijyeni Uygulamaları: Gözlemsel Çalışma

Amaç: Bu araştırmada, Koronavirüs salgınında pandemi kliniklerinde çalışan sağlık personellerinin kişisel koruyucu ekipman kullanımı ve el hijyeni uygulamalarının gözlemlenmesi amaçlanmıştır. Yöntem: Tanımlayıcı ve gözlemsel bir çalışmadır. Araştırma 01.10.2020-31.12.2020 tarihleri arasında bir pandemi hastanesinin kliniklerinde yapılmıştır. Kişisel Koruyucu Ekipman Kullanımı ve El Hijyeni Uyumu Veri Toplama Formu kullanılmıştır. Veriler enfeksiyon kontrol hemşiresi olan araştırmacılar tarafından toplanmış olup, 171 sağlık çalışanı gözlemlenmiştir. Verilerin analizinde yüzde hesaplaması ve ki kare testi kullanılmıştır. Bulgular: Hasta bakım alanında gözlük/yüz koruyucu hariç kişisel koruyucu ekipmanların tam olarak giyildiği belirlendi. Çalışanların %6.4’ü gözlük/yüz koruyucu, %5.3’ü cerrahi maske/N95 maskesini hasta alanından ayrılırken çıkartmadığı saptandı. Pandemi yoğun bakım ünitesindeki uygulamalar (ekipmanları doğru giyinme: %88.5, doğru çıkarma: %85.2), kliniklere göre (doğru giyinme: %64.5, doğru çıkarma: %65.1) rehberlere daha uygundu (p=.001, p=.005). El Hijyenine uyum; hasta ile temas öncesi %69, aseptik işlem öncesi %52.6, vücut sıvısı ile temas sonrası %61.4, hasta ile temas sonrası %77.7, çevre ile temas sonrası %73.1’dir. Pandemi ünitelerinde el hijyenine olan uyum orta düzeyde bulundu. Sonuç: Araştırmamızda kişisel koruyucu ekipmanların kliniklerde mevcut olduğu, gözlük/yüz koruyucu kullanımının eksik olduğu, hasta alanından ayrılırken tüm kişisel koruyucu ekipmanların çıkartılmadığı, yoğun bakımlarda kişisel koruyucu ekipmanların daha uygun kullanıldığı ve el hijyeni uygulamalarının genel olarak orta düzeyde olduğu belirlendi. Pandemi sürecinde kurumlar, kişisel koruyucu ekipman kullanımı ve el hijyeni konusunda daha sık eğitim gerçekleştirmeli ve daha fazla gözlem yapmalıdırlar.

Anahtar Kelimeler:

el hijyeni, kişisel koruyucu ekipman, Koronavirüs, pandemi, sağlık çalışanları

Use of Personal Protective Equipment and Hand Hygiene Practices of a State Hospital Workers in the COVID-19 Pandemic: Observational Study

Objective: This study aimed to observe the use of personal protective equipment and hand hygiene practices of healthcare personnel working in pandemic clinics. Methods: It is a descriptive and observational study. The research was conducted in the clinics of a pandemic hospital between 01.10.2020 and 31.12.2020. Personal Protective Equipment Usage and Hand Hygiene Compliance Data Collection Form was used. Data were collected by researchers who were infection control nurses, and 171 healthcare workers were observed. Percentage calculation and chi-square test were used in the analysis of the data. Results: In the patient care area, it was determined that personal protective equipment, excluding glasses/face protectors, was fully worn. 6.4% of employees did not remove goggles/face protectors, and 5.3% did not remove surgical masks/N95 masks when leaving the patient area. Practices in the pandemic intensive care unit (wearing the equipment correctly: 88.5%, correct removal: 85.2%) were more in line with guidelines than clinics (correct wearing: 64.5%, correct removal: 65.1%) (p=.001, p=.005). Compliance with hand hygiene is 69% before contact with the patient; 52.6% before aseptic procedure; 61.4% after contact with body fluid; 77.7% after contact with the patient; 73.1% after contact with the environment. Hand hygiene compliance was found to be moderate in pandemic units. Conclusions: In our study, it was determined that personal protective equipment was available in the clinics, the use of goggles/face protection was inadequate, all personal protective equipment was not removed when leaving the patient area, and personal protective equipment was used more appropriately in intensive care units and hand hygiene practices were generally moderate level. In the pandemic process, institutions should conduct more frequent training and make more observations on the use of personal protective equipment and hand hygiene.

Keywords:

Coronavirus, hand hygiene, healthcare workers, pandemic, personal protective equipment,

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