中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
CHINESE JOURNAL OF INFECTION CONTROL
2015年
1期
16-19
,共4页
李六亿%袁建峰%赵艳春%贾建侠%赵秀莉%任军红%贾会学%李玲%姚希%殷环%潘义生
李六億%袁建峰%趙豔春%賈建俠%趙秀莉%任軍紅%賈會學%李玲%姚希%慇環%潘義生
리륙억%원건봉%조염춘%가건협%조수리%임군홍%가회학%리령%요희%은배%반의생
手卫生%洗手%依从率%医疗综合目标评估%霍桑效应%医院感染
手衛生%洗手%依從率%醫療綜閤目標評估%霍桑效應%醫院感染
수위생%세수%의종솔%의료종합목표평고%곽상효응%의원감염
hand hygiene%hand washing%compliance rate%comprehensive medical goal appraisal%hawthorne effect%healthcare-associated infection
目的:评价医疗综合目标评估管理体系对医务人员手卫生依从率的影响。方法采用医疗综合目标评估管理体系对某三级甲等综合医院医务人员手卫生依从率进行干预,比较干预前(2012年12月)和干预后(2013年1月—2014年6月)医务人员手卫生依从率和每床日速干手消毒剂使用量。结果干预后医务人员手卫生依从率为85.17%(18208/21379),高于干预前的39.92%(853/2137),干预后较干预前提升了113.35%(χ2=2590.81,P <0.001)。干预后,不同科室、岗位、手卫生时刻医务人员手卫生依从率均高于干预前,差异有统计学意义(均 P <0.001);干预后,全院医务人员手卫生依从率呈逐月上升的趋势,且自2013年 10月起,一直稳定在较高水平(>90%)。速干手消毒剂使用量干预后为10.54 mL/床日(9323.5L/884489床日),较干预前增加了3.30 mL/床日[干预前为7.24 mL/床日(4200 L/579841床日)],提升了45.58%。结论医疗综合目标评估能有效提升手卫生依从率,并持续保持在较高水平;该项措施也可能通过霍桑效应影响医务人员手卫生行为,是一项长期有效提升手卫生依从率的管理举措。
目的:評價醫療綜閤目標評估管理體繫對醫務人員手衛生依從率的影響。方法採用醫療綜閤目標評估管理體繫對某三級甲等綜閤醫院醫務人員手衛生依從率進行榦預,比較榦預前(2012年12月)和榦預後(2013年1月—2014年6月)醫務人員手衛生依從率和每床日速榦手消毒劑使用量。結果榦預後醫務人員手衛生依從率為85.17%(18208/21379),高于榦預前的39.92%(853/2137),榦預後較榦預前提升瞭113.35%(χ2=2590.81,P <0.001)。榦預後,不同科室、崗位、手衛生時刻醫務人員手衛生依從率均高于榦預前,差異有統計學意義(均 P <0.001);榦預後,全院醫務人員手衛生依從率呈逐月上升的趨勢,且自2013年 10月起,一直穩定在較高水平(>90%)。速榦手消毒劑使用量榦預後為10.54 mL/床日(9323.5L/884489床日),較榦預前增加瞭3.30 mL/床日[榦預前為7.24 mL/床日(4200 L/579841床日)],提升瞭45.58%。結論醫療綜閤目標評估能有效提升手衛生依從率,併持續保持在較高水平;該項措施也可能通過霍桑效應影響醫務人員手衛生行為,是一項長期有效提升手衛生依從率的管理舉措。
목적:평개의료종합목표평고관리체계대의무인원수위생의종솔적영향。방법채용의료종합목표평고관리체계대모삼급갑등종합의원의무인원수위생의종솔진행간예,비교간예전(2012년12월)화간예후(2013년1월—2014년6월)의무인원수위생의종솔화매상일속간수소독제사용량。결과간예후의무인원수위생의종솔위85.17%(18208/21379),고우간예전적39.92%(853/2137),간예후교간예전제승료113.35%(χ2=2590.81,P <0.001)。간예후,불동과실、강위、수위생시각의무인원수위생의종솔균고우간예전,차이유통계학의의(균 P <0.001);간예후,전원의무인원수위생의종솔정축월상승적추세,차자2013년 10월기,일직은정재교고수평(>90%)。속간수소독제사용량간예후위10.54 mL/상일(9323.5L/884489상일),교간예전증가료3.30 mL/상일[간예전위7.24 mL/상일(4200 L/579841상일)],제승료45.58%。결론의료종합목표평고능유효제승수위생의종솔,병지속보지재교고수평;해항조시야가능통과곽상효응영향의무인원수위생행위,시일항장기유효제승수위생의종솔적관리거조。
Objective To evaluate the comprehensive medical goal appraisal system on hand hygiene compliance rate of health care workers(HCWs).Methods Comprehensive medical goal appraisal system was adopted to inter-vene hand hygiene compliance rate of HCWs in a comprehensive hospital ,hand hygiene compliance rates of HCWs and consumption of instant hand sanitizer per bed-day before (December 2012)and after intervention (January 2013-June 2014)were compared.Results Hand hygiene compliance rate after intervention was higher than before interven-tion (85.17% [18 208/21 379]vs 39.92%[853/2 137]),hand hygiene compliance rate enhanced by 113.35%(χ2 =2 590. 81,P <0.001).Hand hygiene compliance rates of HCWs of different departments,different occupations and different hand hygiene moments were all higher than before intervention (all P <0.001);after intervention ,hand hygiene compliance rate revealed a increased tendency,and has maintained high since October 2013 (>90%),consumption of instant hand sanitizer before and after intervention was 7.24 mL/bed-day(4 200 L/579 841 bed-day)and 10.54 mL/bed-day(9 323.5L/884 489 bed-day)respectively,the consumption after intervention increased by 45.58% compared with that before intervention. Conclusion Comprehensive medical goal appraisal can effectively enhance hand hygiene compliance rate ,and maintains at a high level;the measure can affect hand hygiene behavior of HCWs by hawthorne effect,and is an effective and long-term measure to improve hand hygiene compliance of HCWs.