重症监护室医务人员手卫生干预研究

崔琢; 朱敬蕊; 汪振林; 张向君; 项平; 谢琪芳

doi:10.13898/j.cnki.issn.1000-2200.2015.11.037

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重症监护室医务人员手卫生干预研究

崔琢 , 朱敬蕊 , 汪振林 , 张向君 , 项平 , 谢琪芳

文章导航 > 蚌埠医学院学报 > 2015, 40 > 11: (1573-1575)

引用本文:

Citation:

重症监护室医务人员手卫生干预研究

1. 蚌埠医学院第一附属医院医院感染管理科, 安徽蚌埠 233004;
2. 蚌埠医学院第一附属医院中心实验室, 安徽蚌埠 233004

作者简介: 崔琢(1970-),女,硕士,副主任检验师.

基金项目:
蚌埠医学院科研课题项目(Byky1375)
中图分类号: R197.3

Study on hand hygiene intervention of medical staff in intensive care unit

1. Department of Infection Management, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China;
2. Central Laboratory, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China
CLC number: R197.3

摘要: 目的:调查干预前后重症监护室医务人员手卫生依从性、知晓情况及医院感染发生率,了解手卫生现状及手卫生与医院感染之间的关系。方法:采用实验流行病学方法,从2013年5月至2014年5月分5个阶段进行手卫生干预,干预措施包括直接观察、手卫生培训、评估反馈等,观察干预前后手卫生执行情况,计算手卫生依从性。进行现场试卷考核,计算重症监护室人员手卫生知晓率。统计调查时段内医院感染发生例数,计算医院感染发生率。结果:医生手卫生执行依从性从干预前45.0%提高到再干预后的91.1%,护士手卫生依从性从干预前43.3%提高到再干预后的92.2%,差异均有统计学意义(P<0.01)。医生手卫生知晓考试成绩从培训前60.0分提高到培训后90.0分;护士成绩从培训前59.1分提高到培训后92.1分,差异均有统计学意义(P<0.01)。医院感染发生率从2013年5月的12.5%降低到再干预后的3.2%,但差异无统计学意义(P>0.05)。结论:采取有效的干预措施提高手卫生依从性和知晓率,可以有效降低医院感染的发生。
- 手卫生 /
- 医院感染 /
- 医务人员 /
- 依从性 /
- 重症监护室
Abstract: Objective: To investigate the hand hygiene compliance and awareness of medical staff in intensive care unit,incidence of nosocomial infection before and after the intervention,and know the status of hand hygiene,relationship between hand hygiene and nosocomial infection.Methods: The hand hygiene intervention in five stages were implemented using experimental epidemiology method from May 2013 to May 2014.The intervention measures included direct observing,hand hygiene training,assessment feedback,observing the implementation of hand hygiene before and after the intervention and calculating the compliance of hand hygiene.All people were examined on-site to calculate the awareness rate of hand hygiene.The number of cases with nosocomial infection was analyzed during the survey period to calculate the incidence of nosocomial infection.Results: The hand hygiene compliance in doctors and nurses before and after intervention were from 45.0% to 91.1% and from 43.3% to 92.2%,respectively,the difference of which was statistically significant(P<0.01).The score of awareness rate of hand hygiene in doctors and nurses before and after training were from 60.0 to 90.0 and from 59.1 to 92.1,respectively,the difference of which was statistically significant(P<0.01).The incidence of nosocomial infection reduced from 12.5% to 3.2%,the difference was not statistically significant(P>0.05).Conclusions: Taking effective intervention measures can improve the compliance and awareness of hand hygiene,which can reduce the occurrence of nosocomial infection.
- hand hygiene /
- nosocomial infection /
- medical staff /
- compliance /
- intensive care unit

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重症监护室医务人员手卫生干预研究

作者简介: 崔琢(1970-),女,硕士,副主任检验师.

1. 蚌埠医学院第一附属医院医院感染管理科, 安徽蚌埠 233004;
2. 蚌埠医学院第一附属医院中心实验室, 安徽蚌埠 233004

收稿日期: 2014-06-16

基金项目: 蚌埠医学院科研课题项目(Byky1375)

关键词:

摘要: 目的:调查干预前后重症监护室医务人员手卫生依从性、知晓情况及医院感染发生率,了解手卫生现状及手卫生与医院感染之间的关系。方法:采用实验流行病学方法,从2013年5月至2014年5月分5个阶段进行手卫生干预,干预措施包括直接观察、手卫生培训、评估反馈等,观察干预前后手卫生执行情况,计算手卫生依从性。进行现场试卷考核,计算重症监护室人员手卫生知晓率。统计调查时段内医院感染发生例数,计算医院感染发生率。结果:医生手卫生执行依从性从干预前45.0%提高到再干预后的91.1%,护士手卫生依从性从干预前43.3%提高到再干预后的92.2%,差异均有统计学意义(P<0.01)。医生手卫生知晓考试成绩从培训前60.0分提高到培训后90.0分;护士成绩从培训前59.1分提高到培训后92.1分,差异均有统计学意义(P<0.01)。医院感染发生率从2013年5月的12.5%降低到再干预后的3.2%,但差异无统计学意义(P>0.05)。结论:采取有效的干预措施提高手卫生依从性和知晓率,可以有效降低医院感染的发生。

English Abstract

Study on hand hygiene intervention of medical staff in intensive care unit

1. Department of Infection Management, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China;
2. Central Laboratory, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China

Received Date: 2014-06-16

Abstract: Objective: To investigate the hand hygiene compliance and awareness of medical staff in intensive care unit,incidence of nosocomial infection before and after the intervention,and know the status of hand hygiene,relationship between hand hygiene and nosocomial infection.Methods: The hand hygiene intervention in five stages were implemented using experimental epidemiology method from May 2013 to May 2014.The intervention measures included direct observing,hand hygiene training,assessment feedback,observing the implementation of hand hygiene before and after the intervention and calculating the compliance of hand hygiene.All people were examined on-site to calculate the awareness rate of hand hygiene.The number of cases with nosocomial infection was analyzed during the survey period to calculate the incidence of nosocomial infection.Results: The hand hygiene compliance in doctors and nurses before and after intervention were from 45.0% to 91.1% and from 43.3% to 92.2%,respectively,the difference of which was statistically significant(P<0.01).The score of awareness rate of hand hygiene in doctors and nurses before and after training were from 60.0 to 90.0 and from 59.1 to 92.1,respectively,the difference of which was statistically significant(P<0.01).The incidence of nosocomial infection reduced from 12.5% to 3.2%,the difference was not statistically significant(P>0.05).Conclusions: Taking effective intervention measures can improve the compliance and awareness of hand hygiene,which can reduce the occurrence of nosocomial infection.