摘要
目的:探讨多模式干预措施对重点科室医务人员手卫生依从性的影响。方法:2016年6月-2016年12月,在院重点科室的医务人员手卫生管理方面实施多模式干预,一共涉及到医务人员103人,并与2015年11月-2016年5月未实施多模式干预之前的情况进行对比分析。观察多模式干预措施实施前后的医务人员手卫生相关知识掌握情况和手卫生相关操作依从率、医院的感染例次率等并进行比较。结果:多模式干预前后分别对入组医务人员进行手卫生相关知识评分,经评估和比较干预前后数据结果存在明显统计学差异,干预后的评分显著高于干预前,(均P<0.05),多模式干预之后,于干预之前进行比较,医务人员在手卫生相关操作,包括无菌操作前洗手、使用洗手液、诊疗操作前洗手、诊疗操作后洗手、使用快速手消剂方面的依从率均得到显著的提升,经比较差异均有统计学意义,(均P<0.05),实施多模式干预之后,医院的感染例次率为(5.12±0.65)%,与干预之前的(8.89±0.86)%,进行比较感染例次率得到显著下降,经比较差异均有统计学意义,(均P<0.05)。结论:对医院重点科室实施多模式干预措施可以获得理想的效果,显著提高医务人员的手卫生依从性,提高其对各种手卫生知识的掌握水平,并减少医院感染的出现。
Objective To explore the effect of multimodal intervention on hand hygiene compliance of medical staff in key departments. Methods Multimodal intervention was conducted in key department of hospital from June 2016 to De- cember 2016,103 medical staff being involved. The results were compared with the condition before the implementation of multimodal intervention during November 2015 and May 2016. We observed medical staff＇s mastery of the relevant knowledge of hand hygiene, compliance rate of hand hygiene operation and hospital infection rate and compared the re- sults before and after the implementation of the intervention. Results The evaluation scores of related knowledge of hand hygiene were significantly different, with higher scores after the intervention（P〈 0.05）. After the intervention, the compliance rates of hand hygiene operation were improved significantly, which included hand washing before aseptic op- eration, use of hand sanitizer,hand washing before and after diagnosis and using hand antiseptic（P〈0.05）. After the intervention, the infection rate of patients was（5.12 ± 0.65） %, significantly lower than（ 8.89 ± 0.86 ）% before the in- tervention（P〈0.05）. Conclusions The implementation of multimodal intervention in key departments of the hospital can achieve ideal effect, which significantly improves the hand hygiene compliance of medical staff, enrich the knowledge of hand hygiene and reduce the occurrence of hospital infection.
作者
沈初
朱益民
SHEN Chu ZHU Yi-min(Department of Epidemiology and Health Statistics,School of Public Health ,Zhejiang University, Hangzhou, Zhejiang 310058, China)
出处
《中国农村卫生事业管理》
2017年第3期271-274,共4页
Chinese Rural Health Service Administration
关键词
医务人员
手卫生
多模式干预
依从性
感染
Medical staff
Hand hygiene
Multimodal intervention
Compliance
Infection
