بررسی میزان آ گاهي و عملکرد دندانپزشکان عمومی متخصص و پرستاران دندانپزشکی شهر یزد در خصوص بهداشت دست در مطبهای دندانپزشکی

Transcription

1 Journal of Facualty of Dentistry Shahid Sadoughi University of Medical Sciences Vol.3, No.4, Winter 2014 Pages: : بررسی میزان آ گاهي و عملکرد دندانپزشکان عمومی متخصص و پرستاران دندانپزشکی شهر یزد در خصوص بهداشت دست در مطبهای دندانپزشکی 3* 2 1. : :. 17 SPSS Chi-Square 60 ( 21/4) 41 ( 47/4) 91 : ( 58/9). 32/58 ±7/22 ( 31/2) (P.value =0/679) (P-value=0/553) ( 74/5)..(P-value=0/03).(P-value<0/05). :. : asaramir@gmail.com : : ( ) * 1392/9/1 : 1392/3/8:

2 B 66 C HIV.(1417) (16) ( PAE ADA, CDC, WHO).(1417).(18) (1920) d = 7 α= 5. ) ( ) 36 ( ). (.(12).(3).(4) Semmelweis.(5) Holmes.(6-8).(10).(10).(11-13)..(2)

3 (21) 17 SPSS. Chi-Squar. 0/ ±7/11 ( 47/4) ( 21/4) 41 35/91 ( 31/2) 60 37/44±5/58 28/31±5/85. ( 38/5) 74. ( 61/5) /58±7/22 58/9) ( 74/5) ( (P-value=0/553) (P.value =0/679) 3.(2 ) ( P-value =0/03)..(P-value=0/332) (p-value =0/541) (p-value=0/393).(4 ) : "" " /" "" 1 "/"

4 399 : /3 31/ /3 53/ /4 39/6 34/1 65/ : P-value 1 2 1/ /1 1 * 0/553 58/ / / / / /7 37 0/679 7/3 74/5 18/ /9 70/7 24/ /6 75/8 17/ Chi-Square Test. 2 * :3 p-value 0/8 1 1/4 1 * 0/03 65/ / / /5 10 5/4 4 0/332 76/ / / Chi-Square Test :4 p-value > /7 2 0/393 57/ / / /6 59 5/3 5 9/3 9 0/541 76/ / / /6 18 Chi-Square Test

5 . () Qudeimat.( 100) (28) ( 4 46).( ).(91) 92 /7 77 /5 12 /5 27/ /8..(4) (28) Qudeimat / (22) 40..(23-25) ( ).(4).(26) 97/3 83/4 84 De Melo / 15 /5 /. 97 (4) Mayers (27) 80. 1/ /3 60 6/

6 401.. (31) Qudeimat (32) Zimakoff. ) (..(28) /6 (CDC). 46 (28).(6) Qudeimat 4 / 61 58/3 32 /2 36/9 /. / 75/8 / 17/4 1/2 3 /3. (4) Myers.. (11) Omogbai 60 (28) Qudeimat /8 / 89/6 / 1. 2.(29-31)

7 References: 1- Mighani Gh, Razavi M, Afhami Sh, Mirsalehian A, Daneshvar Sh. Guide to Infection Control in Dentistry. Tehran: Besat p [Persian] 2- Samaranayake L. Rules of infection control. Int Dent J 1993; 43(6): Beggs CB, Noakes CJ, Shepherd SJ, Kerr KG, Sleigh PA, Banfield K. The influence of nurse cohorting on hand hygiene effectiveness. Am J Infect Control 2006; 34(10): Myers R, Larson E, Cheng B, Schwartz A, Da Silva K, Kunzel C. Hand hygiene among general practice dentists: a survey of knowledge, attitudes and practices. J Am Dent Assoc 2008; 139(7): de Melo GB, Gontijo PP. Survey of the knowledge and practice of infection control among dental practitioners. Braz J Infect Dis 2000; 4(6): CDC. Guideline for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Com-mittee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. MMWR 2002; 51(No. RR-16). 7- Rotter ML. Semmelweis' sesquicentennial: a little-noted anniversary of hand washing. Curr Opin Infect Dis 1998; 11(4): Larson EL, Bryan JL, Adler LM, Blane C. A multifaceted approach to changing handwashing behavior. Am J Infect control 1997; 25(1): Sofola OO, Uti OG. Hepatitis B virus infection and prevention in the dental clinic: knowledge and factors determining vaccine uptake in a Nigerian dental teaching hospital. Nig Q J Hosp Med 2007; 18(3): Pittet D, Dharan S, Touveneau S, Savan V, Perneger TV. Bacterial contamination of the hands of hospital staff during routine patient care. Arch Intern Med 1999; 159(8): Omogbai JJ, Azodo CC, Ehizele AO and Umoh A. Hand hygiene amongst detal professionals hn A tertiary dental clinic. African J Clinic Experiment Microbio 2011; 12(1); Martín-Madrazo C, Salinero- Fort MA, Abanades-Herranz JC, Arnal-Selfa R, García-Ferradal I, Espejo-Matorral F, et al. Effectiveness of a training programme to improve hand hygiene compliance in primary healthcare. BMC Public Health 2009; 9(1): Pittet D, Boyce JM. Hand hygiene and patient care: Pursuing the Semmelweis legacy. Lancet Infect Dis 2001; 1: Molinari JA. Dental infection control at the year 2000 A complishment recognized dent assist. 2000; 27(1): Palenik CJ, Burke FJ, Miller CH. Strategies for dental clinic infection control. Dent Update 1999; 27(1): Baloochi Baydokhti T, Saleh Moghaddam AR. The comparison of skin complications of alcohol-based hand rub with antiseptic soap and plain soap on hands of nursing personnels. Horizon Med Sci 2008; 14(3): [Persian]

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9 Evaluation of Dentists, Specialists and Dental Nurses Knowledge and Practice about Hand Hygiene in the Yazd Offices Navabazam AR (DDS, MSc) 1, Ghorbani AR (DDS) 2, Asarian A* 3 1 Assistant Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. 2 Dentist 3 Dental Student, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Received:29 May 2013 Accepted: 22 Nov 2013 Abstract Introduction: Hand hygiene is considered as the most important aspect to reduce the transmission of infection in healthcare settings. Therefore, the present study was accomplished to evaluate dentists, specialists and dental nurses knowledge and practice about hand hygiene in Yazd in Methods: In this descriptive cross-sectional study, 192 general dentists, specialists and dental nurses were selected randomly in Yazd and their knowledge and practices of hand hygiene were assessed through a questionnaire, validity and reliability of the questionnaire wasapproved. This questionnaire consisted of 19 questions related to knowledge and 17 questions related to practice of hand hygiene. Data were analyzed using SPSS.17 and Chi-Square test. Results: In the present study, 91 general dentists (47.4%), 41 specialists (21.4%) and 60 dental nurses (31.2%) participated. Their mean age was 32.58±7.22. The results showed that the majority of practicipants with knowledge (58.9%) and practice (74.5%) was moderate. Among these three occupational groups, there was no statistically significant differences observed in the level of knowledge (P-value =0.553) and practice (P-value = 0.679). The results revealed no statistically significant relationship between the level of knowledge and practice with age (P-value>0.05). There was statistically significant relationship was found between the level of knowledge, but not practice with gender (P-value=0.03). Conclusion: Based on the results of this study, the level of knowledge and practices of the participants in regard with hand hygiene was moderate therefore, the promotion of the health care providers knowledge seems to be necessitated via holding workshops. Keywords: Knowledge, Complete Denture, Dentist, Hand Hygiene This paper should be cited as: Navabazam AR, Ghorbani AR, Asarian A. Evaluation of dentists, specialists and dental nurses knowledge and practice about hand hygiene in the yazd offices. Yazd Journal of Dental Research 2014; 3(4): *Corresponding author: Tel: , asaramir@gmail.com