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消毒供应中心护理人员手卫生干预效果分析

Effect analysis of the intervention on hand hygiene for nursing staff in central sterile supply department

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目的 分析消毒供应中心(CSSD)护理人员手卫生依从性的主要原因与干预效果.方法 选择CSSD 2019年3月-2022年3月在职的护理人员50名,采用问卷调查影响手卫生依从性的原因,并依此实施相应的干预.对比干预前后护理人员手卫生知识掌握情况、手卫生依从性及手卫生质量.结果 影响手卫生依从性的原因前3位分别为认知不足(88.00%)、工作量大(86.00%)及消毒液对皮肤的损伤(76.00%).干预后护理人员手卫生概念、手卫生意义、手卫生重要性、七步洗手法评分分别为(90.89±5.71)分、(91.96±5.75)分、(92.93±4.65)分、(93.96±5.59)分,以及手卫生依从性为(94.98±5.01)%,均高于干预前的(82.79±5.63)分、(83.86±5.34)分、(85.17±4.75)分、(86.87±5.13)分、(89.82±5.65)%,差异均有统计学意义(P均<0.001).干预后护理人员洗手后手卫生检测菌落数为(3.06±0.78)CFU/cm2,低于干预前的(6.12 土 1.05)CFU/cm2,差异有统计学意义(P<0.05).结论 针对CSSD护理人员手卫生依从性的影响原因,积极采取相应的干预措施,可提升其手卫生质量.
Objective To analyze the main causes and intervention effects of hand hygiene compliance of nursing staff in central sterile supply department(CSSD).Methods A total of 50 nursing staff who were working in CSSD from March 2019 to March 2022 were selected to investigate the reasons affecting hand hygiene adherence and implement corre-sponding interventions.The hand hygiene knowledge,hand hygiene compliance and hand hygiene quality of nursing staff be-fore and after the intervention were compared.Results The top three reasons affecting hand hygiene compliance were insuf-ficient cognition(88.00%),heavy workload(86.00%),and skin damage caused by disinfectant(76.00%).After the interven-tion,the scores of hand hygiene concept,hand hygiene significance,hand hygiene importance,and seven-step handwashing method were(90.89±5.71),(91.96±5.75),(92.93±4.65),and(93.96±5.59),respectively,and the hand hygiene compliance was(94.98±5.01)%,all of which were higher than those before intervention:(82.79±5.63),(83.86±5.34),(85.17±4.75),(86.87±5.13)and(89.82±5.65)%,respectively,and the differences were statistically significant(all P<0.01).The number of colonies in hand hygiene testing after handwashing was(3.06±0.78)CFU/cm2,which was lower than that before intervention(6.12±1.05)CFU/cm2,and the difference was statistically significant(P<0.05).Conclusion Aiming at the influencing causes of hand hygiene compliance of CSSD nursing staff,active intervention measures can improve the quality of hand hygiene.

Central sterile supply department(CSSD),HospitalHand hygieneCompliance

毛秦风、刘翠

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乌鲁木齐市第一人民医院消毒供应中心,新疆乌鲁木齐 830000

消毒供应中心 医院 手部卫生 依从性

2024

中国校医
江苏省预防医学会 中华预防医学会

中国校医

影响因子:0.378
ISSN:1001-7062
年,卷(期):2024.38(5)