摘要
目的观察新生儿重症监护室(NICU)中接触极低出生体重儿宝宝空间(Baby space)手卫生情况及研究期间医院感染率的变化。方法将2015年1月1日至2017年6月30日收住西安交通大学第二附属医院新生儿病区的极低出生体重儿按入院顺序分为对照组和观察组,对照组采用常规的手卫生规范;观察组在常规的手卫生规范基础上,对所有人员反复培训手卫生知识、床单元重点部位贴蓝色标识,蓝色标识区称为宝宝空间(Baby space),对观察结果进行分析。结果观察组手卫生依从性(90.4%)明显高于对照组(50.2%),差异有统计学意义(χ~2=327.314,P<0.05);观察组医院感染发生率(3.3%)明显低于对照组(13.3%),差异有统计学意义(χ~2=7.452,P<0.05)。结论为极低出生体重儿创造Baby space,在接触Baby space前后,严格执行手卫生规范,可提高手卫生依从性,从而能明显降低医院感染率。
Objective To create a baby space for very low birth weight children in neonatal intensive care unit(NICU)before and after contact with the baby space,hand hygiene procedure should be strictly performed so as to observe the changes in hospital infection rate.Methods The very low birth weight children admitted to hospital during the period from January 1,2015 to June 30,2017 were divided into the control group and observation group according to the order of admission.For the control group,'five moments'of hand hygiene prescribed by the World Health Organization were performed routinely.Areas of easy contact for children in the observation group,such as warm box doors and operation interfaces,injection pump operation interfaces,etc.,are affixed with a uniform blue logo and a blue marked area called Baby Space.The'five moments'of hand hygiene as prescribed by the WHO should be strictly enforced.Results The hand hygiene compliance of the observation group(90.387%)was significantly higher than that of the control group(50.236%),and the difference was statistically significant(χ~2=327.314,P<0.05);the incidence of nosocomial infection of the observation group(3.3%)was significantly lower than that of the control group(13.3%),and the difference was statistically significant(χ~2=7.452,P<0.05).Conclusion The creation of a baby space for very low birth weight children and the strict implementation of hand hygiene norms before and after contact with baby space can increase hand hygiene compliance,which can significantly reduce hospital infection rates.
作者
苟维娜
张静
桂艳红
白铂亮
刘雪红
马红侠
张美丽
王惠萍
GOU Weina;ZHANG Jing;GUI Yanhong;BAI Boliang;LIU Xuehong;MA Hongxia;ZHANG Meili;WANG Huiping(Second Affiliated Hospital,School of Medicine,Xi'an Jiaotong University,Xi'an 710004,China)
出处
《中国妇幼健康研究》
2019年第8期1029-1031,共3页
Chinese Journal of Woman and Child Health Research
