组合式干预在提高手卫生依从性中的应用
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梅卫玲

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R192

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Application of comprehensive interventions to improve hand hygiene compliance
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    摘要:

    目的探讨提高医务人员手卫生依从性的有效方法。方法2012年,采用一系列组合式管理措施,对某院医务人员手卫生依从性进行干预。结果2012年该院手卫生依从性检查共计72次,改造全院非手触式水龙头86个,补充张贴宣传图、洗手流程图420张。2012年手卫生依从率为60.48%,显著高于2011年的34.50%(χ2=458.70,P<0.05);手卫生合格为82.13%,显著高于2011年的60.04%(χ2=188.41,P<0.05)。2012年全院及重症监护室快速手消毒剂每床日使用量分别为3.15 mL、21.82 mL,显著高于2011年的0.39 mL、17.81 mL(t值分别为2.59、2.76,均P<0.05)。结论采取组合式干预措施,能有效提高医务人员手卫生的依从性。

    Abstract:

    ObjectiveTo explore the effective measures to improve hand hygiene compliance among health care workers(HCWs) in a hospital.MethodsIn 2012,comprehensive management measures were taken to intervene hand hygiene compliance among HCWs in a hospital.ResultsA total of 72 times of inspection of hand hygiene among HCWs in the whole hospital were conducted, 86 nonhandtouching water taps were transformed, 420 posters pictures and hand washing flow charts were put up. Hand hygiene compliance rate in 2012 was higher than in 2011(60.48% vs 34.50%)(χ2=458.70,P<0.05);qualified rate of hand hygiene was higher than in 2011 (82.13% vs 60.04%)(χ2=188.41,P<0.05).The consumption of fastacting hand disinfectant of whole hospital and intensive care unit was significantly higher than in 2011(3.15mL /bed/day vs 0.39mL/bed/day,t=2.59; 21.82 mL/bed/day vs 17.81mL/bed/day,t=2.76,both P<0.05).ConclusionComprehensive management measures can effectively improve hand hygiene compliance among HCWs.

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引用本文

梅卫玲,李杨,傅政,等.组合式干预在提高手卫生依从性中的应用[J]. 中国感染控制杂志,2014,13(5):296-298. DOI:10.3969/j. issn.1671-9638.2014.05.011.
MEI Weiling, LI Yang, FU Zheng, et al. Application of comprehensive interventions to improve hand hygiene compliance[J]. Chin J Infect Control, 2014,13(5):296-298. DOI:10.3969/j. issn.1671-9638.2014.05.011.

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  • 收稿日期:2013-05-10
  • 最后修改日期:2013-07-12
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  • 在线发布日期: 2014-05-30
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