<strong>Background:</strong> Hand hygiene (HH) is essential in preventing healthcare-associated infections, especially during the COVID-19 pandemic, where SARS-CoV2 has shown the ability to survive on surf...<strong>Background:</strong> Hand hygiene (HH) is essential in preventing healthcare-associated infections, especially during the COVID-19 pandemic, where SARS-CoV2 has shown the ability to survive on surfaces for days. In this study, we explore HH compliance rate and the factors associated with its increase during COVID-19 pandemic. <strong>Methods:</strong> HH compliance was assessed amongst doctors in Anesthesia and Surgical Intensive Care Unit by direct observation between 2018 and 2021. An anonymous survey was then sent to the doctors to understand factors influencing the observed improvement in HH compliance during the pandemic. <strong>Results:</strong> Compliance towards the five moments of HH has shown a statistically significant rising trend from a median HH compliance of 60% in 2018, to 70% in 2019 to 94% in 2020. However, HH compliance subsequently declined in the first quarter of 2021 to median of 87%. The follow-up survey had a response rate of 96% (n = 53). 90% of survey participants responded that their HH frequency had increased during the COVID-19 pandemic with 47% stating they were performing HH 11 - 20 times/day. 64% responded that this increased frequency had affected their skin condition. 62% responded that this increased frequency was sustainable even after the pandemic ends. Participants ranked considerations influencing HH compliance. “Prevent transmitting the infection to vulnerable patients” was ranked highest followed by “High infection rate”, “Fear of contracting COVID-19” and lastly, “Public health guidelines”. <strong>Conclusions:</strong> Despite the absence of new campaigns, HH compliance reached an all-time high. The pandemic has provided opportunity for behavioral change through “reflective” drivers of behavior such as emotions (“Fear”) and knowledge (“High infection rate”). Understanding the motivations behind current increased HH compliance and riding on the increased initial uptake of behavior may help convert HH into a habitual action and not just a reaction to the pandemic.展开更多
目的探讨静脉深度镇静联合行为管理策略在重症婴幼儿龋(severe early childhood caries,S-ECC)合并牙科畏惧症患儿中的临床应用效果,并分析其对患儿行为及心理状态的影响。方法采用随机数字表法进行分组,将2023年8月—2024年8月昆明市...目的探讨静脉深度镇静联合行为管理策略在重症婴幼儿龋(severe early childhood caries,S-ECC)合并牙科畏惧症患儿中的临床应用效果,并分析其对患儿行为及心理状态的影响。方法采用随机数字表法进行分组,将2023年8月—2024年8月昆明市儿童医院收治的240例S-ECC合并牙科畏惧症患儿分为对照组(n=120)和观察组(n=120)。对照组接受强制束缚治疗,观察组则接受静脉深度镇静联合行为管理。比较2组患儿的生理应激水平、治疗依从性、牙科恐惧程度和焦虑程度。结果治疗后、治疗1个月后复诊时,观察组收缩压、舒张压、心率、儿童畏惧调查表-牙科分量表评分均低于对照组,且观察组较治疗前降低,而对照组较治疗前升高,差异均有统计学意义(P<0.05);治疗后、治疗1个月后复诊时,观察组Frankl治疗依从性评价量表评分分别为(2.60±0.73)分、(2.75±0.68)分,均高于对照组的(1.03±0.20)分、(1.01±0.18)分,且观察组Frankl治疗依从性评价量表评分较治疗前升高,而对照组Frankl治疗依从性评价量表评分较治疗前降低,差异均有统计学意义(P<0.05);治疗后,观察组Venham临床焦虑及合作行为级别评定量表等级中低等级例数多于对照组,差异有统计学意义(P<0.001),但观察组Venham临床焦虑及合作行为级别评定量表等级较治疗前降低,对照组较治疗前升高,差异均有统计学意义(P<0.05);观察组完成治疗率为100%,高于对照组的90%,差异有统计学意义(P<0.001)。结论静脉深度镇静联合行为管理策略可有效帮助S-ECC合并牙科畏惧症患儿顺利完成牙科治疗,并显著降低其生理应激水平,改善牙科恐惧和焦虑情绪,进而提高患儿的治疗依从性。展开更多
【目的】比较儿童患者在有医患交谈与无医患交谈的情况下进行口腔治疗的合作情况。【方法】将120名儿童分为甲组（10-12岁）,乙组（7-9岁）,每组再随机分为A、B、C 3小组,A组医生不与患者直接交谈,B组医生与患者简单交谈,C组医生与患者...【目的】比较儿童患者在有医患交谈与无医患交谈的情况下进行口腔治疗的合作情况。【方法】将120名儿童分为甲组（10-12岁）,乙组（7-9岁）,每组再随机分为A、B、C 3小组,A组医生不与患者直接交谈,B组医生与患者简单交谈,C组医生与患者耐心交谈并简单示范。以Venham＇s Clinical Rating of Anxiety and Cooperative Behavior为判定标准,对儿童进行口腔治疗的心理及合作情况各评出一个等级分数。【结果】直接谈话组与不直接谈话组间患者的合作程度有明显区别（P〈0.01）,不同年龄组间患者的合作程度也有明显区别（P〈0.05）。【结论】儿童在进行口腔治疗时有医生与其交谈,对降低其牙科恐惧及增加其合作程度有明显帮助。展开更多
文摘<strong>Background:</strong> Hand hygiene (HH) is essential in preventing healthcare-associated infections, especially during the COVID-19 pandemic, where SARS-CoV2 has shown the ability to survive on surfaces for days. In this study, we explore HH compliance rate and the factors associated with its increase during COVID-19 pandemic. <strong>Methods:</strong> HH compliance was assessed amongst doctors in Anesthesia and Surgical Intensive Care Unit by direct observation between 2018 and 2021. An anonymous survey was then sent to the doctors to understand factors influencing the observed improvement in HH compliance during the pandemic. <strong>Results:</strong> Compliance towards the five moments of HH has shown a statistically significant rising trend from a median HH compliance of 60% in 2018, to 70% in 2019 to 94% in 2020. However, HH compliance subsequently declined in the first quarter of 2021 to median of 87%. The follow-up survey had a response rate of 96% (n = 53). 90% of survey participants responded that their HH frequency had increased during the COVID-19 pandemic with 47% stating they were performing HH 11 - 20 times/day. 64% responded that this increased frequency had affected their skin condition. 62% responded that this increased frequency was sustainable even after the pandemic ends. Participants ranked considerations influencing HH compliance. “Prevent transmitting the infection to vulnerable patients” was ranked highest followed by “High infection rate”, “Fear of contracting COVID-19” and lastly, “Public health guidelines”. <strong>Conclusions:</strong> Despite the absence of new campaigns, HH compliance reached an all-time high. The pandemic has provided opportunity for behavioral change through “reflective” drivers of behavior such as emotions (“Fear”) and knowledge (“High infection rate”). Understanding the motivations behind current increased HH compliance and riding on the increased initial uptake of behavior may help convert HH into a habitual action and not just a reaction to the pandemic.
文摘目的探讨静脉深度镇静联合行为管理策略在重症婴幼儿龋(severe early childhood caries,S-ECC)合并牙科畏惧症患儿中的临床应用效果,并分析其对患儿行为及心理状态的影响。方法采用随机数字表法进行分组,将2023年8月—2024年8月昆明市儿童医院收治的240例S-ECC合并牙科畏惧症患儿分为对照组(n=120)和观察组(n=120)。对照组接受强制束缚治疗,观察组则接受静脉深度镇静联合行为管理。比较2组患儿的生理应激水平、治疗依从性、牙科恐惧程度和焦虑程度。结果治疗后、治疗1个月后复诊时,观察组收缩压、舒张压、心率、儿童畏惧调查表-牙科分量表评分均低于对照组,且观察组较治疗前降低,而对照组较治疗前升高,差异均有统计学意义(P<0.05);治疗后、治疗1个月后复诊时,观察组Frankl治疗依从性评价量表评分分别为(2.60±0.73)分、(2.75±0.68)分,均高于对照组的(1.03±0.20)分、(1.01±0.18)分,且观察组Frankl治疗依从性评价量表评分较治疗前升高,而对照组Frankl治疗依从性评价量表评分较治疗前降低,差异均有统计学意义(P<0.05);治疗后,观察组Venham临床焦虑及合作行为级别评定量表等级中低等级例数多于对照组,差异有统计学意义(P<0.001),但观察组Venham临床焦虑及合作行为级别评定量表等级较治疗前降低,对照组较治疗前升高,差异均有统计学意义(P<0.05);观察组完成治疗率为100%,高于对照组的90%,差异有统计学意义(P<0.001)。结论静脉深度镇静联合行为管理策略可有效帮助S-ECC合并牙科畏惧症患儿顺利完成牙科治疗,并显著降低其生理应激水平,改善牙科恐惧和焦虑情绪,进而提高患儿的治疗依从性。
文摘【目的】比较儿童患者在有医患交谈与无医患交谈的情况下进行口腔治疗的合作情况。【方法】将120名儿童分为甲组（10-12岁）,乙组（7-9岁）,每组再随机分为A、B、C 3小组,A组医生不与患者直接交谈,B组医生与患者简单交谈,C组医生与患者耐心交谈并简单示范。以Venham＇s Clinical Rating of Anxiety and Cooperative Behavior为判定标准,对儿童进行口腔治疗的心理及合作情况各评出一个等级分数。【结果】直接谈话组与不直接谈话组间患者的合作程度有明显区别（P〈0.01）,不同年龄组间患者的合作程度也有明显区别（P〈0.05）。【结论】儿童在进行口腔治疗时有医生与其交谈,对降低其牙科恐惧及增加其合作程度有明显帮助。
