CAJ | 학술논문

目的探讨集束照护策略对提高新生儿重症监护病房(NICU)医护人员手卫生依从性的作用.方法通过开展品质罔活动,实施医护人员手卫生的集束照护策略(care bundle),即:(1)加强培训和管理,增强手卫牛意识,强化手卫牛观念;(2)进行环境改造和流程再造,创建手卫生的氛围和方便的洗手设施;(3)加强监督,医护人员共同参与,保证洗手的正确性.对实施集束照护策略前后NICU医护人员入室及接触患儿前手卫生的落实情况进行比较分析. 结果NICU医护人员入室、接触患儿前手卫生实施率分别由集束照护策略实施前的32.1%、92.0%上升至实施后的97.4%、99.3%;新生儿院内感染的发生率由实施前的2.22%下降到实施后的1.38%.结论集束照护策略能有效提高医护人员手卫生的依从性,预防医院内感染发生.
목적 탐토집속조호책략대제고신생인중증감호병방(NICU)의호인원수위생의종성적작용.방법 통과개전품질망활동,실시의호인원수위생적집속조호책략(care bundle),즉:(1)가강배훈화관리,증강수위우의식,강화수위우관념;(2)진행배경개조화류정재조,창건수위생적분위화방편적세수설시;(3)가강감독,의호인원공동삼여,보증세수적정학성.대실시집속조호책략전후NICU의호인원입실급접촉환인전수위생적락실정황진행비교분석. 결과NICU의호인원입실、접촉환인전수위생실시솔분별유집속조호책략실시전적32.1%、92.0%상승지실시후적97.4%、99.3%;신생인원내감염적발생솔유실시전적2.22%하강도실시후적1.38%.결론 집속조호책략능유효제고의호인원수위생적의종성,예방의원내감염발생.
Objective To evaluate the effect of care bundle in improving the hand hygiene compliance of neonatal intensive care unit staffs. Methods We implemented care bundle strategy through QCC activity: strengthening training and management to improve the hand hygiene awareness of the medical staffs, environmental and workflow reform,improving the hand washing method and facilities and creating hand hygiene atmosphere, all staffs participated and supervised each other to ensure right way of washing hands. The hand hygiene compliance rate of medical staff after entering the neonatal intensive care unit (NICU) and before touching the neonates before and after the intervention were compared. Results After care bundle intervention, the hand hygiene compliance rate of medical staff after entering the NICU and before touching the neonates raised obviously from 32.1% to 97.4% and from 92.0% to 99.3%. The occurrence of nosocomial infection reduced from 2.22% to 1.38%. Conclusions Care bundle can significantly improve the hand hygiene compliance of medical staff, and prevent nosocomial infection.