WHO“多模式手卫生促进策略”对医护人员手卫生依从性影响
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张卫红

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R197.323

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江苏高校优势学科建设工程资助项目(JX10231801);2012年江苏省预防医学科研课题(Y2012046)


Implementation of  WHO multimodal hand hygiene improvement strategy to improve hand hygiene of health care workers
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    摘要:

    目的了解世界卫生组织(WHO)“多模式手卫生促进策略”对提高医护人员手卫生依从性的影响。方法2012年6—12月,采用WHO“多模式手卫生促进策略”对某院医护人员进行干预,比较干预前后医护人员手卫生依从性,评价干预措施效果。结果干预后,医生和护士的手卫生依从率分别为31.73%(79/249)、57.60%(163/283),均高于干预前[分别为14.06%(35/249)、28.62%(81/283)],差异具有统计学意义(均P<0.05)。除门急诊外,各科室干预前后手卫生依从率比较,差异均有统计学意义(均P<0.05);除“接触患者周围环境后”,其余各类手卫生指征干预前后比较,差异均具有统计学意义(均P<0.05)。结论医院采用WHO“多模式手卫生促进策略”可有效提高医护人员手卫生依从性。

    Abstract:

    ObjectiveTo realize the effect of WHO multimodal hand hygiene improvement strategy  (MHHIS) on improving hand hygiene compliance of health care workers(HCWs). MethodsFrom June to December 2012, HCWs in a hospital was intervened by adopting MHHIS, hand hygiene compliance rate before and after intervention was compared, and effectiveness of intervention was assessed. ResultsHand hygiene compliance of doctors and nurses improved from 14.06%(35/249) and 28.62%(81/283) before intervention  to 31.73%(79/249) and 57.60%(163/283)after intervention respectively(both P<0.05). Except outpatient and emergency department, hand hygiene compliance of the other departments significantly improved (all P<0.05); hand hygiene compliance of various hand hygiene indicators significantly improved except ‘after contact with patient surrounding’ (all P<0.05), the differences were statistically different (P<0.05).ConclusionUsing WHO MHHIS can effectively improve hand hygiene compliance of HCWs.

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张翔,张卫红,喻荣彬,等. WHO“多模式手卫生促进策略”对医护人员手卫生依从性影响[J]. 中国感染控制杂志,2014,13(12):757-759. DOI:10.3969/j. issn.1671-9638.2014.12.016.
ZHANG Xiang, ZHANG Weihong, YU Rongbin, et al. Implementation of  WHO multimodal hand hygiene improvement strategy to improve hand hygiene of health care workers[J]. Chin J Infect Control, 2014,13(12):757-759. DOI:10.3969/j. issn.1671-9638.2014.12.016.

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  • 收稿日期:2014-05-26
  • 最后修改日期:2014-10-28
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  • 在线发布日期: 2014-12-30
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