| dc.contributor.advisor | Schaumann, Reiner PD Dr. | |
| dc.contributor.author | Voigt, Michelle | |
| dc.date.accessioned | 2024-07-09T14:14:09Z | |
| dc.date.available | 2024-08-30T00:50:08Z | |
| dc.date.issued | 2024-07-09 | |
| dc.identifier.uri | http://resolver.sub.uni-goettingen.de/purl?ediss-11858/15354 | |
| dc.identifier.uri | http://dx.doi.org/10.53846/goediss-10605 | |
| dc.format.extent | 89 | de |
| dc.language.iso | deu | de |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
| dc.subject.ddc | 610 | de |
| dc.title | Evaluation des Beratungsbedarfs zu Hygiene Fragestellungen bei Patienten | de |
| dc.type | doctoralThesis | de |
| dc.contributor.referee | Scheithauer, Simone Prof. Dr. | |
| dc.date.examination | 2024-08-09 | de |
| dc.description.abstracteng | Healthcare-associated infections are a major burden for hospitals and affected patients leading to high morbidity and mortality and increased medical costs for the healthcare system. Surgical site infections, which are mainly caused by the bacterium Staphylococcus aureus, are among the five most common healthcare-associated infections.
Numerous national and international evidence-based guidelines and recommendations point out measures and strategies for infection prevention in this context. Lately the involvement of inpatients in the process of infection prevention and control measures is discussed. This is described as patient empowerment in current studies. Nevertheless, there is a lack of specific and standardised recommendations for actions to improve patient education.
The aim of this study was to determine whether patients are interested in information and advice on infection prevention and control, particularly on MRSA and surgical site infections.
Structured and standardised personal interviews were performed in University Hospital Göttingen (UMG). The study took place between September 2019–March 2021. The study inclusion criteria comprised two groups of patients. The first group consisted of patients who had undergone elective total endoprosthesis (TEP) and the second group consisted of patients who had tested positive for methicillin-resistant Staphylococcus aureus (MRSA). Exclusion criteria were as follows: patients <18 years; patients in intensive or palliative care; patients who were receiving end of life care or who required full time carers. Other exceptions were short-term patients or patients who were admitted during the lockdown of the COVID-19 pandemic.
The questionnaires contained quantitative and partly qualitative questions as well as multiple-choice questions. The study was conducted in collaboration with the MRE Network Southern Lower Saxony. The survey focused on questions to record the current state of counselling on infection prevention and control as well as questions on the implementation of patient information and advice.
A total of 425 patients were documented. The participation rate was 163/425 patients (38.4%). It was significantly higher in the group of TEP patients (98/183 patients; 53.6%) than in the group of MRSA patients (65/242 patients; 26.9%). 73% of the documented MRSA patients could not be interviewed. Reasons for non-participation were illness, discharge, language barriers, lack of interest and other reasons.
The evaluation of the questions to record the patients' current state of counselling offered the following results: In both groups, the Internet was cited as the most common used source for research on information on infection prevention and control (TEP: 50.0%, MRSA: 55.9%). Measured by the number of open questions asked by patients before admission to hospital, MRSA patients appear to have a greater need for advice than TEP patients (MRSA: 40.0%, TEP: 22.7%).
The results of the questions on the implementation of patient information and advice were as follows: The main topics of interest of the patients differed in both groups. For the MRSA patients the topics of interest were decolonisation (69.2%) and the influence of MRSA on health (63.1%). TEP patients showed great interest in the prevention of surgical site infections (66.3%). The data show a high level of acceptance and interest for antiseptic washing by TEP patient group (78.6%). They also reported a high willingness to pay for antiseptic body wash themselves (59.2%). Overall, both patient groups seem to prefer a personalized consultation. The requested time frames for consultations were similar in the two patient groups with 24 hours being most appropriate (TEP: 79.8% and MRSA: 74.1%).
The results provide possible approaches for implementing patient empowerment in the area of infection prevention and control by performing patient consultation. The aim of future studies will be to determine the extent to which this can contribute to reducing the rate of healthcare-associated infections. | de |
| dc.contributor.coReferee | Lewinski, Gabriela Prof. Dr. | |
| dc.subject.eng | Healthcare-associated infection | de |
| dc.subject.eng | MRSA | de |
| dc.subject.eng | Patient empowerment | de |
| dc.subject.eng | Surgical site infection | de |
| dc.subject.eng | Infection prevention and control | de |
| dc.identifier.urn | urn:nbn:de:gbv:7-ediss-15354-8 | |
| dc.affiliation.institute | Medizinische Fakultät | de |
| dc.subject.gokfull | Medizin (PPN619874732) | de |
| dc.subject.gokfull | Medizinische Mikrobiologie / Medizinische Virologie / Medizinische Mykologie / Infektionskrankheiten / Hygiene / Impfung / Parasitologie / Tropenmedizin - Allgemein- und Gesamtdarstellungen (PPN619875356) | de |
| dc.description.embargoed | 2024-08-30 | de |
| dc.identifier.ppn | 1895100038 | |
| dc.notes.confirmationsent | Confirmation sent 2024-07-09T14:15:02 | de |