综合干预在ICU医务人员洗手依从性中的应用  

Application of comprehensive intervention to the compliance of hand washing behavior of ICU medical staff

作　　者：高贵秀[1] 蔡燕[1] 

机构地区：[1]枣庄市立医院,山东枣庄277100

出　　处：《齐鲁护理杂志》2010年第11期1-4,共4页Journal of Qilu Nursing

基　　金：枣庄市卫生局科技发展项目(2009-042)

摘　　要：目的:探讨综合干预管理措施对ICU医务人员洗手依从性的影响。方法:以我市3所三级综合医院ICU138名临床医务人员作为研究对象,2008年1～6月的68名医护人员为对照组,不采用综合干预;2008年7～12的70名医护人员为观察组,实施综合干预。比较干预前后医务人员的手卫生认知、手卫生执行率、洗手方法正确率、干预前后手细菌培养。结果:干预前后医务人员的手卫生认知、手卫生执行率和洗手方法正确率、手细菌培养、ICU院内感染率比较差异有统计学意义(P<0.01,P<0.05)。结论:个体、机构、环境三个方面的综合干预管理措施能有效提高医务人员手卫生认知,提高医务人员的洗手依从性,降低ICU院内感染的发生。Objective： To investigate the impact of comprehensive management intervention measures on the compliance of hand washing behavior of ICU medical staff.Methods： 138 ICU medical staff of 3 hospitals at level III was taken as study subjects.68 doctors and nurses（from January to June 2008） were taken as control group and 70 doctors and nurses（from July to December） were taken as observation group.The comprehensive intervention was only conducted in the observation group.The awareness of hand hygiene of medical personnel,the implementation rate of hand hygiene,the correct rate of hand washing and hand-bacterial culture were compared between the two groups before and after the intervention.Results： There were statistically significant differences in the comparison of the awareness of hand hygiene of medical personnel,the implementation rate of hand hygiene,the correct rate of hand washing,hand-bacterial culture and ICU nosocomial infection rate before and after the intervention（P〈0.01,P〈0.05）.Conclusion： The comprehensive management intervention measures in the 3 aspects of individual,sections and environment can effectively improve the awareness of hand hygiene and compliance of hand washing behavior of medical personnel so as to reduce the ICU nosocomial infection.

关 键 词：综合干预 医护人员 ICU 洗手依从性 

分 类 号：R192[医药卫生—卫生事业管理]