Development of risk assessment scale for nosocomial infection of patients with chronic benzene poisoning using the Delphi technique

WANG Jianyuan; LIU Jian; LI Donghong

doi:10.16369/j.oher.issn.1007-1326.2017.05.002

Occupational Health and Emergency Rescue > 2017 > 35(5): 405-408, 433. > DOI: 10.16369/j.oher.issn.1007-1326.2017.05.002

WANG Jianyuan, LIU Jian, LI Donghong. Development of risk assessment scale for nosocomial infection of patients with chronic benzene poisoning using the Delphi technique[J]. Occupational Health and Emergency Rescue, 2017, 35(5): 405-408, 433. DOI: 10.16369/j.oher.issn.1007-1326.2017.05.002

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Development of risk assessment scale for nosocomial infection of patients with chronic benzene poisoning using the Delphi technique

Clinic Department of Occupational Disease of Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, Guangdong 518020, China

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Received Date: March 17, 2017
Available Online: January 24, 2024

Graphical Abstract

Abstract

Abstract

Objective
To build an assessment scale for estimation of nosocomial infection risk of patients with chronic benzene poisoning.
Methods
Based on the nosocomial infection risk factors of patients with chronic benzene poisoning obtained in the early stage, a risk assessment scale for nosocomial infection of patients was studied with Delphi technique. Totally 100 patients with chronic benzene poisoning were selected to evaluate the reliability and validity of the scale. Then the scale was applied to assess the risk of nosocomial infection of 72 patients with chronic benzene poisoning. These patients were divided into experimental and control groups; 36 cases in the experimental group were given graded prevention according to the risk grade determined by the scale and 36 cases in the control group were given routine preventive infection measures. The incidence of infection and secondary infection in these two groups were compared.
Results
The positive coefficient of consultation experts was 100% for both first and second round consultations; the expert authority coefficient was 0.76; the Kendall harmony coefficient at second round consultation was 0.729 (P < 0.05). The three dimensions with 10 items in this scale were basic condition of patients, medical examination and intervention measures. The exploratory factor analysis showed that three common factors were factors of diagnostic index, intervention and individual, which explained 56.89% of total variation and the Cronbach's α coefficient was 0.736. The patients in experimental group had statistically significant lower incidence of both infection and secondary infection(P < 0.05).
Conclusion
This scale has a good reliability and validity, it could be used to evaluate the risk of nosocomial infection of patients with chronic benzene poisoning. The use of this scale and adoption of corresponding measures could effectively prevent nosocomial infection.
- Delphi technique,
- benzene poisoning,
- nosocomial infection,
- risk assessment scale,
- graded prevention,
- reliability,
- validity,
- Kendall harmony coefficient

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References (15)

References

[1]	何凤生.中华职业医学[M].北京:人民卫生出版社, 1999:463-466.
[2]	刘健, 章一华.职业病患者的医院感染相关因素与护理对策[J].职业与健康, 2010, 26(17):1942-1943. http://d.old.wanfangdata.com.cn/Periodical/zyyjk201017010
[3]	徐琳, 陈慈珊, 邱新香, 等.职业性慢性苯中毒所致再生障碍性贫血患者并发症预见性护理[J].中国职业医学, 2013, 40(4):311-312. doi: 10.11763/j.issn.2095-2619.2013.04.007
[4]	李六亿, 徐艳.医院感染管理的风险评估[J].中国感染控制杂志, 2016, 15(7):441-446. doi: 10.3969/j.issn.1671-9638.2016.07.001
[5]	刘健, 王建元, 蒋珍玉, 等.职业性慢性苯中毒患者医院感染危险因素调查[J].中华现代护理杂志, 2015, 21(23):2752-2755. doi: 10.3760/cma.j.issn.1674-2907.2015.23.009
[6]	李扬秋, 韩素芳, 杨力建, 等.重度苯中毒患者胸腺输出近期功能明显低下[J].中国实验血液学杂志, 2005, 13(1):114-117. doi: 10.3969/j.issn.1009-2137.2005.01.023
[7]	徐普琴, 白世明.职业性慢性苯中毒20例临床分析[J].第四军医大学吉林军医学院学报, 2005, 26(2):103-104. doi: 10.3969/j.issn.1673-2995.2005.02.021
[8]	菅向东, 阚宝甜.慢性职业性苯中毒10例临床分析[J].中国工业医学杂志, 2003, 16(3):158-159. doi: 10.3969/j.issn.1002-221X.2003.03.014
[9]	丁熙明, 孙辉, 杨巍, 等.苯中毒致重型再生障碍性贫血病人的感染监测[J].中华现代护理杂志, 2011, 17(13):1548-1549. doi: 10.3760/cma.j.issn.1674-2907.2011.13.022
[10]	戴逢春.深圳市职业性慢性苯中毒患者医院感染情况[J].职业与健康, 2013, 29(20):2632-2634. http://d.old.wanfangdata.com.cn/Periodical/zyyjk201320018
[11]	刘健, 章一华.职业病患者的医院感染与相关因素与护理对策[J].职业与健康, 2010, 26(17):1942-1943. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zyyjk201017010
[12]	孙振球.医学统计学[M].北京:人民卫生出版社, 2013:436.
[13]	谭莉, 熊薇, 谭昆, 等.基于透明的医院感染指标选择标准的基准研究[J].中华医院感染学杂志, 2016, 26(11):2411-2413. doi: 10.11816/cn.ni.2016-161302
[14]	张华芳, 冯志仙, 邵乐文, 等.护理质量敏感指标的构建[J].中华护理杂志, 2015, 50(3):287-291. doi: 10.3761/j.issn.0254-1769.2015.03.008
[15]	梁彤彤, 张薇薇, 岳玲, 等.德国护养院居住者主观生活质量量表中文译本的可行性、信度、效度评价[J].上海交通大学学报(医学版), 2015, 35(7):1062-1067. 11.3969/j.issn.1674-8115.2015.07.024

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Development of risk assessment scale for nosocomial infection of patients with chronic benzene poisoning using the Delphi technique