快速手消毒剂设置点对临床医生手卫生依从性的影响
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王锦宁

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]R192.3

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广西卫生厅自筹经费科研课题 (Z.2013123)


Influence of the placement of instant hand disinfectant in hand hygiene compliance of clinicians
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    摘要:

    目的探讨调整快速手消毒剂设置点对临床医生手卫生依从性与合格率的影响。方法观察在病房门口配备快速手消毒剂前后妇科、产科和普通外科医生的手卫生依从性,并采样检测手卫生效果。结果在病房门口配备快速手消毒剂前后分别观察上述科室医生手卫生时刻各300人次。手卫生依从率:在病房门口配备快速手消毒剂后,妇科由32.33% 提高至74.33%;产科由33.67%提高至85.67%;普通外科由26.33% 提高至64.00%,差异均有统计学意义(均P<0. 001)。各科分别抽查了98份手卫生后样本,合格率分别达到98.98%、100.00%和94.90%。结论在适当位置设置快速手消毒剂设施可有效提高临床医生的手卫生依从性和手卫生效果。

    Abstract:

    ObjectiveTo evaluate the influence of the placement of instant hand disinfectant in compliance and qualified rate of hand hygiene of clinicians. MethodsHand hygiene compliance of clinicians in departments of gynecology, obstetrics, and general surgery were observed after the placement of instant hand disinfectant at the doorway of wards, hand specimens were taken to check hand hygiene effectiveness. ResultsBefore and after placement of instant hand disinfectant at the doorway of wards of above departments, hand hygiene behaviors of 300 persontimes were observed. Hand hygiene compliance rate among clinicians in department of gynecology, obstetrics, and general surgery increased from 32.33% to 74.33%, 33.67% to 85.67%, and  26.33% to 64.00%,respectively(all P<0. 001). Each department selected 98 hand hygiene specimens, the qualified rate was 98.98%,100.00% and 94.90% respectively.  ConclusionThe placement of instant hand disinfectant at the doorway of each ward can effectively improve clinicians’ hand hygiene compliance and hand hygiene effectiveness.

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王锦宁,王文权,陆莲丽,等.快速手消毒剂设置点对临床医生手卫生依从性的影响[J]. 中国感染控制杂志,2014,13(12):727-729. DOI:10.3969/j. issn.1671-9638.2014.12.007.
WANG Jinning, WANG Wenquan, LU Lianli, et al. Influence of the placement of instant hand disinfectant in hand hygiene compliance of clinicians[J]. Chin J Infect Control, 2014,13(12):727-729. DOI:10.3969/j. issn.1671-9638.2014.12.007.

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  • 收稿日期:2014-07-06
  • 最后修改日期:2014-09-22
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  • 在线发布日期: 2014-12-30
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