CAJ | 학술논문

目的：探讨提高医务人员手卫生依从性的有效方法。方法2012年,采用一系列组合式管理措施,对某院医务人员手卫生依从性进行干预。结果2012年该院手卫生依从性检查共计72次,改造全院非手触式水龙头86个,补充张贴宣传图、洗手流程图420张。2012年手卫生依从率为60.48%,显著高于2011年的34.50%(χ2=458.70,P<0.05)；手卫生合格为82.13%,显著高于2011年的60.04%(χ2=188.41,P<0.05)。2012年全院及重症监护室快速手消毒剂每床日使用量分别为3.15 mL、21.82 mL,显著高于2011年的0.39 mL、17.81 mL(t值分别为2.59、2.76,均P<0.05)。结论采取组合式干预措施,能有效提高医务人员手卫生的依从性。
목적：탐토제고의무인원수위생의종성적유효방법。방법2012년,채용일계렬조합식관리조시,대모원의무인원수위생의종성진행간예。결과2012년해원수위생의종성검사공계72차,개조전원비수촉식수룡두86개,보충장첩선전도、세수류정도420장。2012년수위생의종솔위60.48%,현저고우2011년적34.50%(χ2=458.70,P<0.05)；수위생합격위82.13%,현저고우2011년적60.04%(χ2=188.41,P<0.05)。2012년전원급중증감호실쾌속수소독제매상일사용량분별위3.15 mL、21.82 mL,현저고우2011년적0.39 mL、17.81 mL(t치분별위2.59、2.76,균P<0.05)。결론채취조합식간예조시,능유효제고의무인원수위생적의종성。
Objective To explore the effective measures to improve hand hygiene compliance among health care workers(HCWs)in a hospital.Methods In 2012,comprehensive management measures were taken to intervene hand hygiene compliance among HCWs in a hospital.Results A total of 72 times of inspection of hand hygiene a-mong HCWs in the whole hospital were conducted,86 non-hand-touching water taps were transformed,420 posters pictures and hand washing flow charts were put up.Hand hygiene compliance rate in 2012 was higher than in 2011 (60.48% vs 34.50%)(χ2=458.70,P<0.05);qualified rate of hand hygiene was higher than in 201 1 (82.13% vs 60.04%)(χ2=188.41,P<0.05).The consumption of fast-acting hand disinfectant of whole hospital and intensive care unit was significantly higher than in 2011(3.15mL/bed/day vs 0.39mL/bed/day,t=2.59;21.82 mL/bed/day vs 17.81mL/bed/day,t=2.76,both P<0.05).Conclusion Comprehensive management measures can effectively improve hand hygiene compliance among HCWs.