摘要
目的探讨业务院长查房对基层医院医务人员手卫生依从性、医院感染发生率影响,统计快速手消毒剂、洗手液每床每日消耗量。方法医院感染管理科和其他职能部门负责人在业务院长的带领下每天上午参加一个住院病区的业务查房,医院感染管理科将医务人员手卫生依从性作为查房监管的重点,对医务人员手卫生依从性进行观察并记录,在总结会上现场反馈;将业务院长查房前的2012年1-6月设为对照组,业务院长查房后的2013年1-6月设为试验组,比较对照组与试验组手卫生用品消耗量、医院感染例次率、医务人员的洗手依从率。结果医院感染管理科参与业务院长查房后,医务人员手卫生依从性较查房前明显提高,医师由33.10%提高至61.04%,护士由51.86%提高至79.20%,差异有统计学意义(P<0.01);临床科室快速手消毒剂、洗手液每床每日消耗量从查房前的1.88、7.03ml分别提高至5.38、11.51 ml,消耗量明显提高;医院感染率由2.01%降低至1.50%,差异有统计学意义(P<0.05);护士手卫生依从性高于医师,各科室手卫生依从性由高到低依次为儿科、妇产科、外科、内科。结论将手卫生纳入业务院长查房内容,取得院领导的重视,可明显提高医务人员手卫生依从性,降低医院感染发生率。
OBJECTIVE To investigate the influence of the ward rounds making by the hospital operation president on hand hygiene compliance and the incidence rate of hospital infection of the medical staff in grass-roots hospitals, the consumption of the daily use of rapid hand disinfectant and liquid soap for each bed was counted. METHODS The management department of hospital infections and other functional departments participated in a hospital ward rounds with the hospital operation president. The compliance of hand hygiene of medical personnel was taken as the key aspect of supervision. The hang hygiene compliance of the medical staff was observed and recorded, and the feedbacks were given in the summing-up meeting. The condition from Jan. 2012 to Jun. 2012 before the operation president of the hospital taking ward rounds was served as the control group and the status from Jan. 2013 to Jun. 2013 after the operation president1 s supervision was taken as the experimental group. The consumption of hand hygienic products, the rate of hospital infections, and the hand washing compliance of the medical staff, were compared between the control group and the observation group. RESULTS The medical staff hand hygiene compliance was obviously higher than before after the operation president of management department of the hospital infections taking ward rounds. The hand hygiene compliance rate in physicians increased from 33.10% to 61.04%, and in nurses, it enhanced from 51.86% to 79.22%. The difference was significant. （P〈0.01）. The consumption of the daily use of clinical rapid hand disinfectant and liquid soap for each bed raised from 1.88ml and 7.03ml to 5.38ml and 11.51ml, the consumption improved obviously. The occurrence rate of hospital infections decreased from 2.01% to 1.50 %. The difference was significant （P〈0.05）. The compliance of hand hygiene of nurse was higher than physicians. The compliance of hand hygiene decreased in the department of pediatrics, department of gynecology and obstetrics, department of
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第3期701-703,共3页
Chinese Journal of Nosocomiology
基金
广东省医学科学技术研究基金资助项目(A2009037)
关键词
院长查房
手卫生依从性
效果
基层医院
Operation presidentrs ward roundsl Hand hygiene compliance
Effect
Primary hospital
