CAJ | 학술논문

目的：通过持续质量改进,提高全院医务人员的手卫生依从性,有效降低医院感染的发生率。方法应用计划-实施-检查-处理(PDCA)循环即管理循环模式进行持续质量改进,加强全员培训,注重过程管理,强调规范洗手,并定期检查和随机抽查。结果实施 PDCA 循环后,医务人员的手卫生知识掌握率由48.00%上升至63.99%；手卫生依从率由实施前的65.11%上升至实施后的82.40%,差异均有统计学意义(χ2值分别为12.75、259.65,均P<0.05)。1000住院床日速干手消毒剂消耗量递增明显,实施后是实施前的2.95倍。结论应用PDCA循环进行持续质量改进,可有效提高医务人员手卫生意识及其依从性。
목적：통과지속질량개진,제고전원의무인원적수위생의종성,유효강저의원감염적발생솔。방법응용계화-실시-검사-처리(PDCA)순배즉관리순배모식진행지속질량개진,가강전원배훈,주중과정관리,강조규범세수,병정기검사화수궤추사。결과실시 PDCA 순배후,의무인원적수위생지식장악솔유48.00%상승지63.99%；수위생의종솔유실시전적65.11%상승지실시후적82.40%,차이균유통계학의의(χ2치분별위12.75、259.65,균P<0.05)。1000주원상일속간수소독제소모량체증명현,실시후시실시전적2.95배。결론응용PDCA순배진행지속질량개진,가유효제고의무인원수위생의식급기의종성。
Objective To improve hand hygiene compliance among health care workers(HCWs)through continu-ous quality improvement,and effectively reduce the incidence of healthcare-associated infection(HAI).Methods Continuous quality improvement was performed by adopting plan-do-check-action(PDCA)cycle,all HCWs were trained,hand hygiene was stressed,periodical and random checking was conducted.Results After the implementa-tion of PDCA cycle,the acknowledge rate of hand hygiene enhanced from 48.00% to 63.99%;hand hygiene com-pliance rate enhanced from 65.11% to 82.40%,the difference were both significant(χ2=12.75,259.65,respective-ly,both P<0.05).The daily consumption of instant hand antiseptic per 1 000 bed day increased obviously,which was 2.95-fold of pre-implementation.Conclusion Continuous quality improvement through PDCA cycle can effec-tively improve hand hygiene compliance rate of HCWs.