首页|迎评三甲医院促进手卫生依从性的效果观察

迎评三甲医院促进手卫生依从性的效果观察

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目的:探讨迎评三甲医院促进手卫生依从性的效果。方法选择2012年7---12月本院员工为观察对象,根据手卫生的5个指征,设计了手卫生依从性调查表,采用直接观察的方法,记录医务人员在手卫生干预前后的依从性。结果医务人员的手卫生依从性在迎评三甲医院后有明显提高,各类医务人员的手卫生依从性总体情况由原来的47.5%上升至81.1%,医生、护士、进修实习人员及工勤人员的手卫生依从性分别由38.8%、64%、36.1%、26.5%上升至77.9%、93.3%、71.5%、64.3%;各手卫生指征的依从性:接触患者前、清洁/无菌操作前、接触患者体液后、接触患者后、接触患者物品后的手卫生依从性分别由38.5%、57.9%、73.5%、47.3%、42.2%上升至79.5%、87.6%、94.8%、80.1%、77.5%。各类医务人员及各手卫生指征的手卫生依从性在干预前后差异均有统计学意义(P<0.05)。结论通过迎评三甲医院所采取的一系列手卫生干预措施,增强了全院员工的手卫生意识和责任感,使手卫生依从性显著提高。
The effect of AAA Hospital Accreditation on hand Hygiene Compliance
Objective To explore the effect of preparation for the AAA Hospital to promote hand hygiene compliance .Methods Chose employees from July to De-cember,2012 as observation object,according to hand hygiene five indications,hand hygiene compliance questionnaire design,adopt the method of direct observation,re-cord of medical personnel hand hygiene compliance before and after intervention .Results Medical staff hand hygiene compliance in for evaluation after AAA Hospital ,all kinds of hand hygiene compliance of medical staff overall rose to 81.1%from 47.5%,doctors,nurses,education practice and those logistics personnel hand hygiene com-pliance by 38.8%,64% and 36.1% respectively,26.5%,rose to 77.9%,93.3%,71.5%,64.3%;The compliance of hand hygiene indications:cleaned before con-tact with patients before and after contact with body fluids patients/sterile operation,after contact with patients,the hand hygiene compliance of the goods as soon as you contact with patients respectively by 38.5%,57.9%,73.5%,47.3%,42.2% to 79.5%,87.6%,94.8%,80.1%,77.5%.All kinds of medical personnel and the hand hygiene compliance of hand hygiene indications in the difference has statistical significance before and after intervention(P<0.05).Conclusion Through for evalu-ation AAA Hospital has taken a series of hand hygiene intervention measures ,to enhance the floor staff hand hygiene consciousness and sense of responsibility ,has obvi-ously improved the hand hygiene compliance .

Medical staffHand hygieneCompliance

孙玉红

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潍坊市人民医院心内科,山东 潍坊 261041

医务人员 手卫生 依从性

2014

中国保健营养(上旬刊)
全国卫生产业企业管理协会

中国保健营养(上旬刊)

ISSN:1004-7484
年,卷(期):2014.(4)
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