CAJ | 학술논문

目的：探讨集束化手卫生干预对控制基层综合医院医院感染的效果，以达到提高手卫生依从性、正确率，降低医院感染发生率的目的。方法于2014年1—6月对某院临床科室医务人员实施集束化手卫生干预，对比干预前后医务人员手卫生知识知晓率、手卫生依从率和正确率、手消毒剂使用量及医院感染率的变化情况。结果实施干预半年后，医务人员手卫生知识（手卫生概念、意义、指征、洗手方法及手消毒剂使用）知晓率较干预前均有不同程度提高（均P＜0．05）；干预后医务人员手卫生依从性和正确率分别为77．92％、76．47％，高于干预前的49．78％和37．72％，各组比较，差异具有统计学意义（均P＜0．05）。手消毒剂使用量从干预前的每床日2．14 mL上升至干预后的每床日4．63 mL，医院感染率从干预前的1．97％降至干预后的1．54％，差异具有统计学意义（P＜0．05）。结论对基层医院实施集束化手卫生干预，可提高医务人员手卫生知识知晓率、手卫生依从率和正确率，有效降低医院感染率。
목적：탐토집속화수위생간예대공제기층종합의원의원감염적효과，이체도제고수위생의종성、정학솔，강저의원감염발생솔적목적。방법우2014년1—6월대모원림상과실의무인원실시집속화수위생간예，대비간예전후의무인원수위생지식지효솔、수위생의종솔화정학솔、수소독제사용량급의원감염솔적변화정황。결과실시간예반년후，의무인원수위생지식（수위생개념、의의、지정、세수방법급수소독제사용）지효솔교간예전균유불동정도제고（균P＜0．05）；간예후의무인원수위생의종성화정학솔분별위77．92％、76．47％，고우간예전적49．78％화37．72％，각조비교，차이구유통계학의의（균P＜0．05）。수소독제사용량종간예전적매상일2．14 mL상승지간예후적매상일4．63 mL，의원감염솔종간예전적1．97％강지간예후적1．54％，차이구유통계학의의（P＜0．05）。결론대기층의원실시집속화수위생간예，가제고의무인원수위생지식지효솔、수위생의종솔화정학솔，유효강저의원감염솔。
Objective To explore the effect of bundle hand hygiene intervention in controlling healthcare-associated infec-tion(HAI)in a primary comprehensive hospital,so as to improve hand hygiene compliance and correct rate,and reduce AHI rate. Methods In January-June 2014,bundle hand hygiene intervention among health care workers (HCWs)in a hospital was performed,hand hygiene knowledge awareness rate,hand hygiene compliance and correct rate,hand sanitizer usage and HAI rate before and after intervention were compared. Results After performing intervention for six months,the awareness rate of hand hygiene knowledge(concept,significance,indications,methods,sanitizer use)of HCWs improved com-pared with before intervention (P<0.05);hand hygiene compliance and correct rate were significantly higher than before inter-vention (77.92% vs 49.78% ;76.47% vs 37.72% )(P<0.05). Hand sanitizer usage increased from 2.14mL/bed-day to 4.63 mL/bed-day ,HAI rate decreased from 1.97% to 1.54% (P<0.05).Conclusion Bundle hand hygiene intervention can improve HCWs’knowledge awareness,compliance and execution rate of hand hygiene,and effectively reduce HAI rate.