magistrsko delo
Lucija Roblek (Author), Mojca Jevšnik (Reviewer), Klemen Bohinc (Mentor), Anamarija Zore (Co-mentor)

Abstract

Uvod: Okužbe, povezane z zdravstvom lahko povzročijo bolezni oz. patološke spremembe, ki se pojavijo v času zdravstvene oskrbe pacienta. Najpomembnejši del le teh predstavljajo bolnišnične okužbe, saj običajno prizadenejo najranljivejše skupine bolnikov. Število bolnišničnih okužb je v obdobju po letu 1980 začelo eksponentno naraščati. Patogeni organizmi se pri okuženih ali koloniziranih pacientih prenašajo na njihovo kožo, oblačila, posteljnino in bližnjo okolico. Največkrat je tako kontaminirana celotna pacientova okolica. Higiena rok, čiščenje in razkuževanje pomagata pri obvladovanju širjenja patogenov v zdravstvenih ustanovah. Namen: V prvem delu raziskave smo ugotavljali, kako posamezne zdravstvene ustanove skrbijo za nadzor nad čiščenjem in preprečevanjem okužb, povezanih z zdravstvom na stopnji čiščenja. V drugem delu pa smo z eksperimentalnim delom preverjali uspešnost čistila, ki ga uporabljajo pri dejanskem čiščenju tal v eni izmed zdravstvenih ustanov. Pri tem smo uporabili bakterijo Staphylococcus aureus. Poleg tega smo preverili še učinkovitost vodnega toka na odstranjevanje bakterij s površine. Metode dela: Uporabljena je bila integracija dveh kvantitativnih metod. Namen integracije je komplementarnost, pri katerem so rezultati ene metode služili za poglobitev in razširitev ugotovitev. Uporabljen je bil zaporedni raziskovalni načrt, v katerem je prva faza predstavljala zbiranje podatkov z anketnim vprašalnikom, raziskavo pa smo poglobili z eksperimentalnim delom. Izbrana strategija raziskave je bila presečna študija. Rezultati: Na podlagi anketnega vprašalnika smo ugotovili, da se v zdravstvenih ustanovah po Sloveniji različno izvaja postopek čiščenja in nadzora nad čiščenjem. V eksperimentalnem delu pa smo s pomočjo ročnega čiščenja bakterij s površine tal prišli do ugotovitev, da z mehansko silo roke bakterije delno odstranimo. Na podlagi dela s pretočno komoro pa potrjujemo, da volumski pretok vpliva na odstranitev bakterij s površine tal. Razprava in zaključek: S pridobljenimi rezultati smo delno potrdili, da ustanove po Sloveniji upoštevajo Pravilnik o preprečevanju in obvladovanju okužb v zdravstvenih ustanovah in primerno izvajajo program preprečevanja okužb povezanih z zdravstvom in skrbijo za nadzor. Z eksperimentalnim delom pa smo potrdili druge tri hipoteze, da je učinkovitost čiščenja predvsem odvisna od mehanske sile oziroma števila potegov po površini in uporabe čistilnega sredstva, ter da vodni tok statistično značilno zmanjša število bakterij na površini.

Keywords

magistrska dela;zdravstvena nega;čiščenje;bolnišnične okužbe;preprečevanje;Staphylococcus aureus;

Data

Language: Slovenian
Year of publishing:
Typology: 2.09 - Master's Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [L. Roblek]
UDC: 616-083
COBISS: 5664875 Link will open in a new window
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Other data

Secondary language: English
Secondary title: ǂThe ǂimportance of floor cleaning in health care institutions in relation to health care associated infections
Secondary abstract: Introduction: Health-related infections are diseases or pathological changes that occur during the patient’s medical care. The most important part of them are hospital infections, as the usually affect the most vulnerable groups of patients. In teh period after 1980, the number of hospital infections began to increase exponentially. Pathogenic organisms are transmitted to infected or colonized patients on their skin, clothing, bedding and nearby surroundings. Most often, the entire patient’s environment is contaminated. Hand hygiene, cleaning and disinfection help to control the spread of pathogens in health care institutions. Purpose: In the first part of the study, we determined how individual health care institutions are responsible for controlling the cleaning and prevention of health-related infections at the stage of cleaning. In the second part, we experimentally tested the effectiveness of the cleaner used in the actual cleaning of the soil in one of the health institutions. We used the Staphylococcus aureus bacterium. In addition, we also checked the effectiveness of water flow to remove bacteria from the surface. Methods: The integration of two quantitative methods was used. The purpose of integration is complementarity, in which the results of one method served to deepen and expand the findings. A sequential research plan was used, in which the first phase was the collection of data with the help of a questionnaire, and the research was deepened with experimental work. The chosen research strategy was a cross-sectional study. Results: Based on the survey questionnaire, we found that in the healthcare institutions across Slovenia, there is a different procedure for cleaning and controling the cleaning. In the experimental part, by means of manual purification of bacteria from the surface of the soil, we came to the conclusion that the mechanical force of the bacterial arm was partially removed. Based on the work with the flow chamber, we confirm that the volume flow affects the removal of bacteria from the soil surface. Discussion and conclusion: With the results obtained, we partially confirmed that the institutions throughout Slovenia follow the Rules on Prevention and Control of Infections in Health Facilities and implement the program of prevention of hospital infections and take care of the controls. The experimental work confirmed the other three hypotheses that the purification efficiency depends mainly on the mechanical force or the number of sweeps in the surface and the use of the cleaning agent, and that the water flow statistically reduces the number of bacteria on the surface.
Secondary keywords: master's theses;nursing care;cleaning;hospital infection;prevention;Staphylococcus aureus;
Type (COBISS): Master's thesis/paper
Study programme: 0
Embargo end date (OpenAIRE): 1970-01-01
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Pages: 54 str.
ID: 11196408