国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
International Medicine and Health Guidance News
2015年
18期
2678-2680,2688
,共4页
监测%手卫生%依从性
鑑測%手衛生%依從性
감측%수위생%의종성
Monitoring%Hand hygiene%Compliance
目的 探讨监测手卫生用品每床日消耗量对医务人员手卫生依从性、医院感染发病率的影响,间接了解医务人员手卫生的执行率.方法 院感专职人员及各临床科室的感控员,每月不定期对医务人员手卫生的执行情况进行观察并记录,统计手卫生用品每床日的消耗量,每季度进行反馈;2012年1至12月设为对照组,对手卫生用品每床日消耗量监测的2013年1至12月设为观察组,比较对照组与观察组手卫生用品每床日的消耗量、医院感染例次率、医务人员洗手的依从率.结果 对手卫生用品消耗量监测后,医务人员手卫生依从性较监测前明显提高,医生由34.3％提高至62.8％,护士由53.5％提高至78.1％,差异有统计学意义(P＜0.01);各科室速干手消毒剂、抗菌皂液平均每床日消耗量由监测前的2.7 ml、4.9 ml,分别提高至监测后的6.44 ml、9.78 ml,差异有统计学意义(P＜0.01);护士手卫生依从性高于医生,各科手卫生依从性由高到低依次为儿科、妇产科、骨科、脑外科、内科、普外科.结论 监测手卫生用品消耗量,定期反馈通报,能够促进医务人员提高手卫生执行的依从率,降低医院感染发病率.
目的 探討鑑測手衛生用品每床日消耗量對醫務人員手衛生依從性、醫院感染髮病率的影響,間接瞭解醫務人員手衛生的執行率.方法 院感專職人員及各臨床科室的感控員,每月不定期對醫務人員手衛生的執行情況進行觀察併記錄,統計手衛生用品每床日的消耗量,每季度進行反饋;2012年1至12月設為對照組,對手衛生用品每床日消耗量鑑測的2013年1至12月設為觀察組,比較對照組與觀察組手衛生用品每床日的消耗量、醫院感染例次率、醫務人員洗手的依從率.結果 對手衛生用品消耗量鑑測後,醫務人員手衛生依從性較鑑測前明顯提高,醫生由34.3％提高至62.8％,護士由53.5％提高至78.1％,差異有統計學意義(P＜0.01);各科室速榦手消毒劑、抗菌皂液平均每床日消耗量由鑑測前的2.7 ml、4.9 ml,分彆提高至鑑測後的6.44 ml、9.78 ml,差異有統計學意義(P＜0.01);護士手衛生依從性高于醫生,各科手衛生依從性由高到低依次為兒科、婦產科、骨科、腦外科、內科、普外科.結論 鑑測手衛生用品消耗量,定期反饋通報,能夠促進醫務人員提高手衛生執行的依從率,降低醫院感染髮病率.
목적 탐토감측수위생용품매상일소모량대의무인원수위생의종성、의원감염발병솔적영향,간접료해의무인원수위생적집행솔.방법 원감전직인원급각림상과실적감공원,매월불정기대의무인원수위생적집행정황진행관찰병기록,통계수위생용품매상일적소모량,매계도진행반궤;2012년1지12월설위대조조,대수위생용품매상일소모량감측적2013년1지12월설위관찰조,비교대조조여관찰조수위생용품매상일적소모량、의원감염례차솔、의무인원세수적의종솔.결과 대수위생용품소모량감측후,의무인원수위생의종성교감측전명현제고,의생유34.3％제고지62.8％,호사유53.5％제고지78.1％,차이유통계학의의(P＜0.01);각과실속간수소독제、항균조액평균매상일소모량유감측전적2.7 ml、4.9 ml,분별제고지감측후적6.44 ml、9.78 ml,차이유통계학의의(P＜0.01);호사수위생의종성고우의생,각과수위생의종성유고도저의차위인과、부산과、골과、뇌외과、내과、보외과.결론 감측수위생용품소모량,정기반궤통보,능구촉진의무인원제고수위생집행적의종솔,강저의원감염발병솔.
Objective To investigate the impact of hand hygiene products consumption monitoring on hand hygiene compliance of medical personnel,the incidence of nosocomial infections,and to indirectly understand the rate of implementation of medical staff hand hygiene.Methods Full-time staff of nosocomial infections and infection controllers of all clinical departments observed and recorded the implementation condition of medical staff hand hygiene time to time monthly.Counted hand hygiene products consumption per bed per day,quarterly feedback.Hand hygiene products consumption per bed per day from January to December 2012 was set as control group,hand hygiene products consumption per bed per day from January to December 2013 was set as observation group.Compared hand hygiene products consumption per bed per day,the rate of nosocomial infections,the compliance rate of medical staff hand washing.Results After hand hygiene products consumption monitoring,the compliance of medical staff hand hygiene significantly improved (doctors:62.8％ vs.34.3％;nurses:78.1％ vs.53.5％),with statistically significant differences (P＜0.01).The per bed per day consumption of alcohol-based hand disinfectant,antibacterial soap of all departments before monitoring were 2.7 ml,4.9 ml respectively,those after monitoring were 6.44 ml,9.78 ml,with statistically significant differences (P＜0.01).Nurses hand hygiene compliance was higher than doctors hand hygiene compliance,departments in descending order of hand hygiene compliance were pediatrics,obstetrics and gynecology,orthopedics,neurosurgery,internal medicine,general surgery.Conclusion Hand hygiene products consumption monitoring and regular feedback can improve the compliance of medical staff hand hygiene,reduce the incidence of nosocomial infections.
