摘要
目的探讨提高新生儿重症监护病房(NICU)医务人员手卫生依从性的有效干预措施。方法选择医院NICU 20名医务人员为研究对象,通过采取改善手卫生设施,提供教育与培训方案,营造手卫生氛围,加强手卫生管理与督导等干预措施,以2013年7月1日-12月31日为干预后,2012年7月1日-12月31日为干预前,观察比较干预前后医务人员手卫生依从率、自我评价手卫生执行力度得分及每天每床洗手液消耗量。结果 NICU医务人员手卫生依从率干预后为96.08%、干预前为64.98%,差异有统计学意义(P<0.001);自我评价手卫生执行力度得分干预后为(23.72±1.46)分、干预前为(20.36±1.55)分,差异有统计学意义(P<0.001);每床洗手液消耗量干预后为40.04ml/d、干预前为20.27ml/d。结论通过执行干预措施对提高NICU医务人员的手卫生依从性有效可行。
OBJECTIVE To discuss the effective interventions that can improve compliance of hand hygiene among medical staff of NICU .METHODS Totally 20 medical personnel in the NICU of Chongqing Jiangjin District Cen‐tral Hospital were chosen as the research objects .Multiple interventions were applied ,such as improving hand hy‐giene facilities ,providing education and training programs ,creating the atmosphere of hand hygiene to supervise and improve hand hygiene .The Hand hygiene behaviors and hand sanitizer used from Jul .1 ,2013 to Dec .31 , 2013 were regarded as observation group .The Hand hygiene behaviors and hand sanitizer used from Jul .1 ,2012 to Dec .31 ,2012 were treated as control group .The hand hygiene compliance rate ,self‐evaluation scores about performing hand hygiene and the consumption of hand sanitizer of the two groups were observed and compared . RESULTS The rate of NICU medical staff hand hygiene compliance after the intervention was 96 .08% ,and the rate before intervention was 64 .98% .The difference was significant （P〈0 .001）;self‐evaluation score about per‐forming hand hygiene after the intervention was 23 .72 ± 1 .46 ,and before intervention ,it was 20 .36 ± 1 .55 .The difference was significant（P〈0 .001）;the consumption of hand disinfectant and hand sanitizer after the interven‐tion was 40 .04 ml/bed/day ,while before intervention it was 20 .27 ml/bed/day .CONCLUSION Multiple inter‐ventions to improve hand hygiene compliance are feasible and effective .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第19期4549-4551,共3页
Chinese Journal of Nosocomiology
基金
重庆市临床重点专科建设基金资助项目(渝卫2012-143)
