摘要
目的依据WHO《多模式手卫生促进策略和实施工具》在全院开展手卫生促进活动,从而提高医务人员的洗手依从性。方法 2011年7-12月在全院39个病区,根据手卫生的5个时刻,采用直接观察的方法,记录医务人员在手卫生干预前后的洗手依从性。结果医务人员的洗手依从性在手卫生促进活动后有明显提高,由原来29.6%上升至51.5%,其中医师和护士的洗手依从性分别由21.7%、41.6%上升至38.9%、59.4%,差异有统计学意义(P<0.05);各洗手指征的依从性除清洁/无菌操作前外均有显著性地提高;外科、内科和老年科的医务人员的洗手依从性也均提高>50.0%。结论通过WHO多模式手卫生促进策略的一系列手卫生干预措施,医务人员的手卫生意识和洗手依从性均有了明显提高,并逐步建立起良好的手卫生习惯。
OBJECTIVE To conduct the hand hygiene promotion activity in the whole hospital according to WHO ＇ Multimodai Hand Hygiene Improvement Strategy and Implementation＂ so as to improve the hand washing compliance of the medical staff. METHODS The hand hygiene compliance of the 39 wards was assessed before and after the intervention via a direct observation based on my five moments for hand hygiene＇ from Jul to Dec 2011. RESULTS The mean hand washing compliance after intervention significantly was improved from 29. 6% to 51.5%, the hand washing compliance of the doctors and nurses were respectively improved from 21.7% to 38.9% and from 41.6% to 59.4%, the difference was statistically significant （P〈0.05）3 the compliance of the hand washing indicators except the cleaning and aseptic operation were significantly improved; the hand washing compliance of the medical staff in the surgery department, internal medicine department and geriatrics department increased by more than 50. 0%. CONCLUSION Through a series of hand hygiene interventions by WHO multimodal hand hygiene improvement strategy, both the awareness of the hand hygiene and the hand washing compliance have been significantly improved, good hand hygiene habit being gradually developed.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第23期5322-5324,共3页
Chinese Journal of Nosocomiology
关键词
手卫生
依从性
医务人员
Hand hygiene
Compliance
Medical staff
