نحوه پذيرش و بهبود موازين كنترل عفونت ويروس هپاتيت ب توسط كاركنان خدمات بهداشتي و درماني

Mode of acceptance and improve standards for control of hepatitis B virus infection by health care workers

ﺳﺎﺑﻘﻪ و ﻫﺪف: ﻧﺤﻮه ﭘﺬﯾﺮش و ﺑﻪ ﮐﺎرﮔﯿﺮي ﻣﻮازﯾﻦ ﮐﻨﺘﺮل ﻋﻔﻮﻧﺖ وﯾـ ﺮوس ﻫﭙﺎﺗﯿـﺖ ب ﺗﻮﺳـﻂ ﮐﺎرﮐﻨـﺎن ﺧـﺪﻣﺎت ﺑﻬﺪاﺷﺘﯽ و درﻣﺎﻧﯽ داراي اﻫﻤﯿﺖ ﻣﯽ ﺑﺎﺷﺪ. اﯾﻦ ﺑﺮرﺳﯽ ﺑﻪ ﻣﻨﻈﻮر ﺗﻌﯿﯿﻦ ﻧﺤﻮه ﭘﺬﯾﺮش و ﺳـﻄﺢ ﺑﻬﺒـﻮد رﻋﺎﯾـﺖ ﻣـﻮازﯾﻦ ﮐﻨﺘﺮل ﻋﻔﻮﻧﺖ در 3 ﺣﯿﻄﻪ ﻗﺒﻞ، ﺣﯿﻦ و ﺑﻌﺪ از ﺗﻤﺎس ﻫﺎي ﻣﺨﺎﻃﺮه آﻣﯿﺰ ﺷﻐﻠﯽ، اﻧﺠﺎم ﺷﺪه اﺳﺖ. ﻣﻮاد و روش ﻫﺎ: ﻣﻄﺎﻟﻌﻪ از ﻧﻮع ﺗﻮﺻﯿﻔﯽ، ﺑﺮ روي ﺗﻌﺪاد 135 ﻧﻔﺮ از ﮐﺎرﮐﻨﺎن ﺧﺪﻣﺎت ﺑﻬﺪاﺷﺘﯽ و درﻣﺎﻧﯽ، اﻧﺠﺎم ﮔﺮﻓـﺖ. از روش ﺧﻮﺷﻪاي دو ﻣﺮﺣﻠﻪ اي ﺑﺮاي اﻧﺘﺨﺎب ﻧﻤﻮﻧﻪ ﻫﺎ اﺳﺘﻔﺎده ﺷﺪ. اﺑﺰار ﮔﺮدآوري داده ﻫﺎ، ﻟﯿﺴﺖ ﺑﺮگ ﺗﻬﯿﻪ ﺷـﺪه ﺑـﺮاي ﻣﺸﺎﻫﺪه ﻧﺎﻣﺤﺴﻮس ﻋﻤﻞ ﮐﺮدﻫﺎ، در 7 ﻋﺎﻣﻞ ﺛﺒﺖ ﺷﺪه و ﺑﺮرﺳﯽ اﻣﺘﯿﺎز ﻣﮑﺘﺴﺒﻪ آن ﺑﺎ ﻃﯿﻒ ﻣﻄﻠـﻮب، ﻧﺴـﺒﺘﺎً ﻣﻄﻠـﻮب و ﻧﺎﻣﻄﻠﻮب ﺑﻪ ﮐﻤﮏ آزﻣﻮن ﻫﺎي آﻣﺎري ﻣﻨﺎﺳﺐ اﻧﺠﺎم ﺷﺪ. ﯾﺎﻓﺘﻪ ﻫﺎ: ﮐﺎرﮐﻨﺎن در ﻣﻮرد ﻧﺤﻮه ﭘﺬﯾﺮش ﻣﻮازﯾﻦ ﮐﻨﺘﺮل ﻋﻔﻮﻧﺖ وﯾﺮوس ﻫﭙﺎﺗﯿﺖ ب ﺑﻪ ﺗﺮﺗﯿﺐ در ﻋﺎﻣﻞ 2 ﺣﯿﻄـﻪ 1 ﺑـﺎ 59/35%، ﻋﺎﻣﻞ 7 ﺣﯿﻄﻪ 3 ﺑﺎ 48/88% و ﻋﺎﻣﻞ 4 ﺣﯿﻄﻪ 2 ﺑﺎ 45/92% داراي ﺑﯿﺶ ﺗﺮﯾﻦ ﻋﻤﻞ ﮐﺮد ﻣﻄﻠﻮب ﺷﺪﻧﺪ. ﻣﯿـ ﺰان ﺑﻬﺒﻮدي رﻋﺎﯾﺖ ﻣﻮازﯾﻦ ﻣﺬﮐﻮر در ﺑﯿﻦ ﻣﯿﺎﻧﮕﯿﻦ رﺗﺒﻪ ﻧﻤﺮات آن ﻫﺎ ﻣﺸﻬﻮد ﻣﯽ ﺑﺎﺷﺪ (0/05

Introduction: A hepatitis B virus infection-control standard of acceptance and use by health care workers is important. The aim of this study was to determine how to improve the level of compliance and infection control standards in three areas before, during and after exposure to risky job. Materials and Methods: A descriptive study, over 135 health care workers was conducted. A two-stage cluster sampling method was used. The data, produced by the leaves list to see subtle performance, points gained 7 operating records and review them with the desired range, relatively favorable and unfavorable to the chi-square test, correlation and Friedman SPSS for analysis data were analyzed. Results: Hepatitis B virus infection-control staff about admissions criteria, respectively, in the two areas one with 59.35%, 7 domains of factor 3 with 48.88 % and the 4 domains 2 with 45.92% in the most favorable performance were. The cure rate standards in the average rating scores it is evident (P<0.05). Laboratory personnel were highest standards (p = 0.0016). Least favorable performance respectively allotted to the 5 domains 2 (non-use of syringes A.D) with 87 %, a factor of 2 domain 1 (Do not use alcohol on a cotton breaking glass when shots or injections) with 85 % and the 6 domains 3 (not reported needlestick injuries in health care) with 57%. Conclusion: More than half of the employees were relatively favorable and unfavorable. Therefore benefiting from this study is expected in 100% of patients, hepatitis B virus infection-control measures after a period of training is planned to operate.