中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
CHINESE JOURNAL OF INFECTION CONTROL
2014年
4期
249-251
,共3页
长查房%手卫生%洗手%基层医院%医院感染%感染控制
長查房%手衛生%洗手%基層醫院%醫院感染%感染控製
장사방%수위생%세수%기층의원%의원감염%감염공제
ward round%hand hygiene%hand washing%basic-level hospital%healthcare-associated infection%infecton control
目的：探讨医院感染管理科（院感科）参与业务院长查房对某基层医院医务人员手卫生执行情况的影响。方法调查该院2012年1-6月（对照组：院感科未参与业务院长查房）和2013年1-6月（实验组：院感科参与业务院长查房）手卫生执行情况，比较两组医务人员手卫生依从率及各科室手卫生用品消耗量。结果实验组医院感染例次率（1．49％）显著低于对照组（2．01％）（χ2＝4．31，P＜0．05）；医务人员手卫生依从率为71．56％（3249/4540），显著高于对照组的44．00％（1914/4350）。实验组和对照组护士手卫生依从性均高于医生（χ2分别为151．30、179．92，均P＜0．001）；实验组各科室手卫生依从性由高至低依次为儿科、妇产科、外科、内科。实验组和对照组快速手消毒剂消耗量分别为5．38 mL/床日、1．88 mL/床日，洗手液消耗量分别为11．51 mL/床日、7．03 mL/床日。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，确保医疗安全。
目的：探討醫院感染管理科（院感科）參與業務院長查房對某基層醫院醫務人員手衛生執行情況的影響。方法調查該院2012年1-6月（對照組：院感科未參與業務院長查房）和2013年1-6月（實驗組：院感科參與業務院長查房）手衛生執行情況，比較兩組醫務人員手衛生依從率及各科室手衛生用品消耗量。結果實驗組醫院感染例次率（1．49％）顯著低于對照組（2．01％）（χ2＝4．31，P＜0．05）；醫務人員手衛生依從率為71．56％（3249/4540），顯著高于對照組的44．00％（1914/4350）。實驗組和對照組護士手衛生依從性均高于醫生（χ2分彆為151．30、179．92，均P＜0．001）；實驗組各科室手衛生依從性由高至低依次為兒科、婦產科、外科、內科。實驗組和對照組快速手消毒劑消耗量分彆為5．38 mL/床日、1．88 mL/床日，洗手液消耗量分彆為11．51 mL/床日、7．03 mL/床日。結論將手衛生納入業務院長查房內容，取得院領導的重視，可明顯提高醫務人員手衛生依從性，降低醫院感染髮生率，確保醫療安全。
목적：탐토의원감염관이과（원감과）삼여업무원장사방대모기층의원의무인원수위생집행정황적영향。방법조사해원2012년1-6월（대조조：원감과미삼여업무원장사방）화2013년1-6월（실험조：원감과삼여업무원장사방）수위생집행정황，비교량조의무인원수위생의종솔급각과실수위생용품소모량。결과실험조의원감염례차솔（1．49％）현저저우대조조（2．01％）（χ2＝4．31，P＜0．05）；의무인원수위생의종솔위71．56％（3249/4540），현저고우대조조적44．00％（1914/4350）。실험조화대조조호사수위생의종성균고우의생（χ2분별위151．30、179．92，균P＜0．001）；실험조각과실수위생의종성유고지저의차위인과、부산과、외과、내과。실험조화대조조쾌속수소독제소모량분별위5．38 mL/상일、1．88 mL/상일，세수액소모량분별위11．51 mL/상일、7．03 mL/상일。결론장수위생납입업무원장사방내용，취득원령도적중시，가명현제고의무인원수위생의종성，강저의원감염발생솔，학보의료안전。
Objective To investigate the influence of participation of healthcare-associated infection (HAI)man-agement department in ward round presided over by hospital director on hand hygiene compliance of health care workers (HCWs)in a basic-level hospital.Methods Implementation of hand hygiene in January-June 2012 (control group :HAI management department didn’t participate ward round)and January-June 2013 (trial group :HAI management department participated ward round)were investigated,the compliance of hand hygiene of two groups of HCWs and consumption of hand hygiene products of each department were compared.Results HAI case rate in trail group was significantly lower than control group (1.49% vs 2.01% )(χ2= 4.31,P<0.05);HCWs’hand hy-giene compliance rate was significantly higher than control group (71 . 56% [3 249/4 540 ]vs 44. 00% [1 914/4 350]),hand hygiene compliance rates in nurses were higher than doctors of both groups(χ2= 151.30,179.92, respectively,bothP<0.001),hand hygiene compliance rate in trial group from high to low was department of pedi-atrics,obstetrics and gynecology,surgery,and internal medicine. The consumption of rapid hand disinfectant of trail group and control group was 5.38mL/bed-day and 1.88 mL/bed-day respectively,the consumption of hand sanitizer was 11.51 mL/bed-day and 7.03 mL/bed-day respectively.Conclusion Hand hygiene checked during the ward round presided over by hospital director can improve HCWs’hand hygiene compliance,reduce the incidence of HAI,and ensure medical safety.
