PDCA循环在提高血透室护士手卫生依从性中的应用效果  

Role of PDCA Cycle in Improving Hand Hygiene Compliance of Nurses in Hemodialysis Room

作　　者：王春莲[1] 许新玲 李玉琴[1] 

机构地区：[1]新疆石河子市人民医院肾内科,新疆石河子832000

出　　处：《农垦医学》2014年第1期78-81,共4页Journal of Nongken Medicine

摘　　要：目的:探讨PDCA循环在我院血透室护士手卫生管理中的应用效果。方法:应用计划-实施-检查-处理(PDCA)循环即管理循环模式,对血透室护士手卫生进行持续质量改进。加强全员培训,注意环节管理,强调规范洗手,定期检查和随机抽查相结合。结果:实施PDCA循环后,血透室护士接触患者前手卫生洗手率由实施前的33.67%升至实施后的78.12%,接触患者后洗手率由57.98%升至93.26%,脱手套后洗手率由31.94%升至86.86%,护士手细菌检测合格率由65.71%提高至92.11%,差异均有统计学意义(P<0.05)。结论:应用PDCA循环法提高了血透室护士手卫生的依从性。Objective:To explore the application of PDCA cycle management on hand hygiene compliance of nurses in hemodialysis room .Methods:The application effects of PDCA cycles of planning-do-check-action on continuous quality im-provement of hand hygiene of nurses in hemodialysis room .It is including strengthening all-staff-training, emphasizing process management and periodical inspection with random sampling .Results:After the implementation of PDCA cycle man-agement,the rate of washing hand before contacting the patients increased from the 33.67% before the implementation to 78.12%after the implementation,increasing from 57.98% to 93.26% after contacting the patients,and increasing from 31.94%to 86.86%after removing the gloves,the nurse hand detection qualified rate of bacteria increased from 65.7%to 94.7%,the difference were statistically significant (P>0.05).Conclusion:The application of PDCA cycle of planning-do-check-action on continuous quality improvement can effectively improve hand hygiene of nurses in hemodialysis room .

关 键 词：PDCA循环 手卫生 依从性 

分 类 号：R473.5[医药卫生—护理学]