ABSTRACT
Estudo realizado com graduandos de enfermagem do último ano/semestre de Instituições de Ensino Superior (IES) em Goiás no período de 2005 e 2006, com objetivo de avaliar a técnica de higienização das Mãos (HM) descrita por graduandos de enfermagem e identificar a contribuição das IES na formação do aluno sobre HM. Todos os aspectos éticos foram atendidos. Os dados foram obtidos por meio da aplicação de questionário, previamente avaliado, e processados no programa Epiinfo. Participaram do estudo 286 acadêmicos, sendo que 132 do ano de 2005 e 154 de 2006. Apesar de afirmarem ter conhecimento teórico com relação à técnica de HM apresentaram baixo desempenho ao descrevê-la. Os resultados mostram que a abordagem dada pelas IES com relação à técnica de HM, não tem proporcionado sedimentação do conhecimento que resultasse na execução correta da técnica de higienização das mãos.
Study that was carried out with the last year/semester of higher education institutions (HEI) in Goiás in the period 2005 to 2006, in order to evaluate the hands washing (hW) the technique as described by the nursing students and identify the contribution of IES in the education of the student on hW. All ethical aspects were observed. Data collection were obtained through the application of a questionnaire, previously evaluated and processed in the Epiinfo. Study participants were conformed by 286 academics, with 132 during 2005 and 154 during 2006. Despite claiming to have known theoretical aspects about the technical performance of hW, it was not enough to describe it. Results show that the approach given by HEI as far as the technique of HW, is concerned, have not provided the knowledge sedimentation that result on correct execution of the hands washing technique.
Estudio realizado con estudiantes de enfermería en el último año/semestre de Instituciones de Educación Superior (IES) en Goiás en el período comprendido entre 2005 y 2006, para evaluar la técnica de lavado de las manos (LM) descrita por los estudiantes de enfermería y determinar la contribución de la IES en la formación del estudiante en LM. Se cautelaron todos los aspectos éticos. Los datos se obtuvieron mediante la aplicación de un cuestionario, previamente evaluado y tratados en el Epiinfo. Los participantes del estudio fueron 286 académicos, con 132 del año 2005 y 154 de 2006. A pesar de que afirman haber tenido conocimiento teórico con respecto a las prestaciones técnicas de LM, éste era insuficiente para describirlo. Los resultados muestran que el enfoque dado por el IES en lo que respecta a la técnica de LM, no ha proporcionado la sedimentación de los conocimientos que puedan llevar a la ejecución correcta de la técnica de lavado de manos.
Subject(s)
Humans , Infection Control/methods , Education, Nursing , Hand Disinfection , Nursing Care , TeachingABSTRACT
OBJECTIVE To inspect the condition of hands-washing among medical staff in order to improve it accordingly.METHODS Direct inspection on the effect of hands-washing among medical staff from all departments within hospital at a fixed interval and make statistics as well as analysis retrospectively.RESULTS The qualified rate of hands-washing respectively was 90.03%,91.47%,91.54%,and 93.55% during the years of 2003 through 2006.The rate had risen steadily.The qualified rate of hands-washing in key departmeuts and in others was 89.15% and 87.87%.respectively,without significatnt differences.However,the qualified rate among nurses and doctors was 93.80% and 87.17%,respectively.The qualified rate among nurses was obviousely higher than among doctors in this regard with significant differences between them.CONCLUSIONS Intensifying training and standardizing hands-washing methods by means of choosing suitable hands-detergents are important in order to improve the compliance of hands-washing among medical staff.
ABSTRACT
Introducción: La importancia de incorporar la educación diabetológica de las personas que padecen diabetes como una prestación de servicios de salud se hace cada día más indispensable, para lograr la participación interactiva y de corresponsabilidad del propio paciente y su familia en el control metabólico y tratamiento efectivo de la enfermedad. Introducción: La higiene de las manos es la medida más importante y efectiva para prevenir la transmisión de infecciones en el medio hospitalario. A pesar de ello, su cumplimiento no rebasa 40% de las veces que está indicada. Una alternativa para fortalecer la higiene de las manos es el uso de soluciones a base de alcohol. Objetivo: Comparar la efectividad de la aplicación de alcohol gel para la higiene de las manos con la técnica de lavado de manos tradicional en la reducción de Unidades Formadoras de Colonias residente y temporal de las manos de médicos y enfermeras. Metodología: Con la participación de enfermeras y médicos de la Unidad de Cuidados Intensivos y Hematología, se realizó la observación del lavado de manos tradicional con agua, jabón y toallas de papel, y de la higiene de las manos con la aplicación de alcohol gel. La cuenta e identificación de gérmenes para ambos procedimientos, se obtuvo de las muestras bacteriológicas recolectadas antes y después de cada procedimiento. El análisis estadístico implicó frecuencias simples, medidas de tendencia central y dispersión; reducción logarítmica (Log10); correlación no paramétrica; prueba de normalidad Kolmogorov-Smirnov y Shapiro Wilk; y, U de Mann-Whitney. Resultados: De los 108 procedimientos observados, el valor de las medianas de UFC-Log10 antes del lavado de manos tradicional y aplicación de alcohol gel, fue de 3 y 2.48 respectivamente. Posterior a los procedimientos de 2.3 y 0.95, con reducción de UFC-Log10 de 0.7 versus 1.53 (p<0.01). Se identificaron 13 gérmenes diferentes en 88 cultivos realizados. El grupo de enfermeras tuvo mayor reducción de UFC-Log10 que los médicos (p<0.05). Conclusión: Con la aplicación de alcohol gel, se obtuvo una reducción de cuenta bacteriana significativamente mayor que con el lavado de manos tradicional.
Introduction: Hands' hygiene is the most important and effective measure to prevent the transmission of infections en the hospital environment Despite of that, its accomplishment does not overcome 40% out of times that is indicated. One alternative to fortify the hands' hygiene is using of alcohol base solutions. Objective: Compare the effectiveness of utilization of alcohol base gel for the hands' hygiene with the traditional hands' washing technique in the reduction of Formation Units of Colonies (FUQ both permanent and temporal from doctors and nurses' hands. Methodology: With the participation of doctors and nurses of the Critical Care and Hematology Units, it was made an observation of traditional hands' washing with water, soap, and paper towels; and hands' hygiene utilizing alcohol base gel. The account and identification of germs for both procedures was obtained from bacteriologic samples recollected before and after each procedure. The statistic analysis implied simple frequencies, central tendency measurements and dispersion; logarithmic reduction (Log 10); non parametric correlation, test of normality Kolmogorov-Smirnov & Shapiro Wilk; and U of Mann-Whitney. Results: From 108 observed procedures, the value of UFC-Log 10 medians previous to the traditional hands washing and utilization of alcohol base gel, was respectively 3 and 2.48. After the procedures was 2.3 and 0.95, with reduction of UFC-Log10 to 0.7 versus 1.53 (P<0.01). Thirteen different germs were identified on 88 cultures done. The group of nurses had more reduction of UFC-Log10 than doctors (p<0.05). Conclusions: With the utilization of alcohol base gel, it was obtained a decrement of bacterial accounts significantly major than with the traditional hand washing.