中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
CHINESE JOURNAL OF INFECTION CONTROL
2015年
8期
513-517
,共5页
李六亿%吴安华%胡必杰%李卫光%侯铁英%刘运喜%建国%宗志勇%杨怀%杨芸%陆群%张秀月%冯亚静%赵一飞
李六億%吳安華%鬍必傑%李衛光%侯鐵英%劉運喜%建國%宗誌勇%楊懷%楊蕓%陸群%張秀月%馮亞靜%趙一飛
리륙억%오안화%호필걸%리위광%후철영%류운희%건국%종지용%양부%양예%륙군%장수월%풍아정%조일비
重症监护病房%ICU%医务人员%洗手%手卫生%依从率%综合干预%多中心研究
重癥鑑護病房%ICU%醫務人員%洗手%手衛生%依從率%綜閤榦預%多中心研究
중증감호병방%ICU%의무인원%세수%수위생%의종솔%종합간예%다중심연구
intensive care unit%health care worker%hand washing%hand hygiene%compliance rate%comprehen-sive intervention%multicenter study
目的：通过多中心研究评价综合干预措施对提升重症监护病房（ICU）医务人员手卫生依从率的效果。方法选取12个省市47所医院，按照世界卫生组织（WHO）颁布的手卫生调查方法，于2013年10月—2014年9月采用直接观察法，对 ICU 医务人员手卫生依从率进行调查，并比较干预前后手卫生依从率的变化。结果ICU医务人员手卫生依从率从干预前的73．70％（11155／15135）提升至干预后的78．70％（18206／23132），差异有统计学意义（χ2＝128．16，P ＜0．01）；干预后，不同地区中，除东北地区外，其他地区／系统医务人员手卫生依从率均较干预前提升（均 P ＜0．05）；综合 ICU、呼吸 ICU、急诊 ICU 和外科 ICU 干预后手卫生依从率均较干预前提升（均 P＜0．05）；不同岗位医务人员干预后手卫生依从率均较干预前提升（均 P ＜0．05）；直接接触患者前、进行清洁或无菌操作前、直接接触患者后及接触患者周围环境后的手卫生依从率均较干预前提升，差异均有统计学意义（均 P ＜0．01）。结论采取综合干预措施，有助于提升 ICU 医务人员手卫生依从率。
目的：通過多中心研究評價綜閤榦預措施對提升重癥鑑護病房（ICU）醫務人員手衛生依從率的效果。方法選取12箇省市47所醫院，按照世界衛生組織（WHO）頒佈的手衛生調查方法，于2013年10月—2014年9月採用直接觀察法，對 ICU 醫務人員手衛生依從率進行調查，併比較榦預前後手衛生依從率的變化。結果ICU醫務人員手衛生依從率從榦預前的73．70％（11155／15135）提升至榦預後的78．70％（18206／23132），差異有統計學意義（χ2＝128．16，P ＜0．01）；榦預後，不同地區中，除東北地區外，其他地區／繫統醫務人員手衛生依從率均較榦預前提升（均 P ＜0．05）；綜閤 ICU、呼吸 ICU、急診 ICU 和外科 ICU 榦預後手衛生依從率均較榦預前提升（均 P＜0．05）；不同崗位醫務人員榦預後手衛生依從率均較榦預前提升（均 P ＜0．05）；直接接觸患者前、進行清潔或無菌操作前、直接接觸患者後及接觸患者週圍環境後的手衛生依從率均較榦預前提升，差異均有統計學意義（均 P ＜0．01）。結論採取綜閤榦預措施，有助于提升 ICU 醫務人員手衛生依從率。
목적：통과다중심연구평개종합간예조시대제승중증감호병방（ICU）의무인원수위생의종솔적효과。방법선취12개성시47소의원，안조세계위생조직（WHO）반포적수위생조사방법，우2013년10월—2014년9월채용직접관찰법，대 ICU 의무인원수위생의종솔진행조사，병비교간예전후수위생의종솔적변화。결과ICU의무인원수위생의종솔종간예전적73．70％（11155／15135）제승지간예후적78．70％（18206／23132），차이유통계학의의（χ2＝128．16，P ＜0．01）；간예후，불동지구중，제동북지구외，기타지구／계통의무인원수위생의종솔균교간예전제승（균 P ＜0．05）；종합 ICU、호흡 ICU、급진 ICU 화외과 ICU 간예후수위생의종솔균교간예전제승（균 P＜0．05）；불동강위의무인원간예후수위생의종솔균교간예전제승（균 P ＜0．05）；직접접촉환자전、진행청길혹무균조작전、직접접촉환자후급접촉환자주위배경후적수위생의종솔균교간예전제승，차이균유통계학의의（균 P ＜0．01）。결론채취종합간예조시，유조우제승 ICU 의무인원수위생의종솔。
Objective To evaluate the effect of comprehensive intervention measures on improving hand hygiene (HH)compliance of health care workers(HCWs)in intensive care units (ICUs)by multicenter study.Methods A total of 47 hospitals in 12 provinces and cities were enrolled in the study,from October 2013 to September 2014, HH compliance among HCWs in ICUs was investigated according to World Health Organization HH investigation method,HH compliance rates before and after intervention were compared.Results HH compliance rate of HCWs in ICUs increased from 73.70%(11 155/15 135)before intervention to 78.70%(18 206/23 132)after intervention (χ2 =128.16,P <0.01);except northeast region ,HH compliance of HCWs in the other provinces increased signif-icantly after intervention(all P <0.05);among all departments,HH compliance of HCWs in general ICUs,respira-tory ICUs,emergency ICUs,and surgical ICUs increased significantly(all P <0.05);HH compliance of HCWs of all kinds of occupations increased significantly(all P <0.05);HH compliance rates before touching a patient,before clean/aseptic procedure,after touching a patient,and after touching patient surroundings increased significantly after intervention(all P <0.01 ).Conclusion Comprehensive interventions are helpful for improving HH compliance of HCWs in ICUs. Objective To evaluate the effect of comprehensive intervention measures on improving hand hygiene (HH)compliance of health care workers(HCWs)in intensive care units (ICUs)by multicenter study.Methods A total of 47 hospitals in 12 provinces and cities were enrolled in the study,from October 2013 to September 2014, HH compliance among HCWs in ICUs was investigated according to World Health Organization HH investigation method,HH compliance rates before and after intervention were compared.Results HH compliance rate of HCWs in ICUs increased from 73.70%(11 155/15 135)before intervention to 78.70%(18 206/23 132)after intervention (χ2 =128.16,P <0.01);except northeast region ,HH compliance of HCWs in the other provinces increased signif-icantly after intervention(all P <0.05);among all departments,HH compliance of HCWs in general ICUs,respira-tory ICUs,emergency ICUs,and surgical ICUs increased significantly(all P <0.05);HH compliance of HCWs of all kinds of occupations increased significantly(all P <0.05);HH compliance rates before touching a patient,before clean/aseptic procedure,after touching a patient,and after touching patient surroundings increased significantly after intervention(all P <0.01 ).Conclusion Comprehensive interventions are helpful for improving HH compliance of HCWs in ICUs.
