重症监护室医务人员手卫生干预效果研究    FREE
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Effect of intervention in hand hygiene of health care workers in intensive care units    FREE
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    摘要:

    目的了解重症监护室(ICU)医务人员手卫生干预效果及其影响因素,探讨切实可行的手卫生干预方法,以提高医务人员手卫生执行率。方法2008年为第1阶段,对综合ICU、神经外科ICU、新生儿ICU均实行教育干预和产品干预;2009年为第2阶段,在上述基础干预之上开展个性化的干预措施。采用自行设计的调查表并结合现场观察手卫生过程的方法,调查上述ICU医务人员手部卫生执行情况,分析干预前后手卫生的执行率变化。结果在干预前,ICU医务人员的手卫生执行率为25.06%,经过教育干预、产品干预后,手卫生执行率上升至41.52%,其中医务人员在不同工作状态下的手卫生执行率以医疗护理操作之间提高最明显,由干预前的10.11%上升至28.33%(P=0.01)。干预后,3个ICU医务人员手卫生执行率均有所提高,且3种不同教育干预之间差异存在高度显著性(P=0.01)。结论提供产品干预、基础及个性化教育干预对ICU医务人员手卫生依从性有一定的促进作用。

    Abstract:

    ObjectiveTo realize effect and impact factors of intervention in hand hygiene of health care workers (HCWs) in intensive care units (ICUs), and evaluate rational and practical hand hygiene intervention methods, so as to enhance the compliance with hand hygiene among HCWs.MethodsThe first intervention stage was in 2008, educational and productive intervention were implemented in general, neurosurgical and neonatal ICUs; The second intervention stage was in 2009, individualized intervention was performed in addition to the above basic intervention strategies. HCWs’ compliance with hand hygiene was investigated based on the questionnaires and onthespot observation of hand hygiene process, the compliance rates before and after implementation of intervention was analysed. ResultsHCWs’ compliance rate of hand hygiene before and after implementing intervention was 25.06% and 41.52% respectively, the compliance rate increased most obviously between medical care activities, which enhanced from 10.11% before implementing intervention to 28.33% after implementing intervention (P=0.01).Compliance rates of hand hygiene were all improved in HCWs in 3 ICUs, and there was significant difference in compliance rate among 3 types of education (P=0.01).ConclusionIntervention with hand hygiene product, basic and individualized education can promote ICU HCWs’ compliance with hand hygiene.

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黄新玲,何文英,史晨辉,等.重症监护室医务人员手卫生干预效果研究    FREE[J]. 中国感染控制杂志,2010,9(4):248-250.
HUANG Xinling, HE Wenying, SHI Chenhui, et al. Effect of intervention in hand hygiene of health care workers in intensive care units    FREE[J]. Chin J Infect Control, 2010,9(4):248-250.

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  • 在线发布日期: 2010-07-30
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