提升負壓隔離病房訪客防護措施正確率

Enhancing Accuracy Rate of Personal Protective Equipment measurements Implemented by Visitors to a Negative Pressure Isolation Ward

結核病是透過飛沫傳染，通報人數高居台灣傳染病中第一位，病人配合治療且訪客落實防護措施，是防止疾病散佈的關鍵。經現況分析發現本院負壓隔離病房訪客防護措施正確率僅23.3%，故於2015年3月至2016年9月成立專案小組進行改善。探討原因為：訪客防護規範不一致、缺乏衛教相關文宣品及硬體設備、護理人員未落實訪客防護措施衛教等。藉由重新制定訪客探視防護規範、製作防護衛教相關海報、增設相關設備、規劃衛教活動及製作相關衛教單張與查檢表等策略，結果顯示訪客防護措施正確率提升至80%。本專案有效提升訪客防護措施正確率，可供相關機構作為改善防護措施之參考。

Pulmonary tuberculosis (TB), is the most Commonly reported communicable disease in Taiwan . The key to halt the spread of TB is ensuring the patients are initiating an adequate treatment, and to stop the transmission of TB to their visitors and family during the early hospital stay with in the negative pressure isolation ward. The visitors should follow the personal protective equipments (PPEs) measurements accurately to reduce the risk of exposure. We analysed the compliance of PPEs measurements in our ward and realized there was only a 23.3% accuracy rate for visitors Compliances. We developed a project to improve the PPEs measurements accuracy rate during March 2015 to September 2016. The causes of the low accuracy rate were: inconsistent protective regulations among visitors; lack of health education propaganda and education hardware; and nurses' failure to educate PPEs measurements for visitors. After the hospital reestablishment of visitor norms regarding protective procedures, making posters for PPEs measurements , addition of educational equipment, planned health education activities, and development of health information leaflets and checklists, the accuracy rate for visitors PPEs measurements was improved to 80%. This project effectively improved the personal protective measures of visitors entering and leaving the negative pressure isolation wards, and this project can serve as a reference for the institutes to improve the visitor PPEs measurements compliance.