规范洗手周活动促进手卫生依从性的效果研究  

Research of standard hand-washing week promoting hand hygiene

作　　者：龚光明[1] 周红芳[1] 徐俊炜[1] 

机构地区：[1]南通市肿瘤医院感染管理科,江苏南通226361

出　　处：《中华医院感染学杂志》2011年第16期3445-3446,3479,共3页Chinese Journal of Nosocomiology

摘　　要：目的评估全员参与"规范洗手周"活动后,某医院医务人员对手卫生相关知识的知晓程度、洗手正确率及洗手依从性的提高情况。方法制定"规范洗手周"活动方案,开展"规范洗手周"活动,跟踪活动后至创建"三级甲等"肿瘤专科医院初评共1个月时间,对441名医务人员进行手卫生相关知识提问及洗手技术考核,对238名医务人员进行操作前、后手卫生情况的观察,对考核与观察结果进行分析。结果通过开展"规范洗手周"活动,医师、护士、工勤人员手卫生相关知识知晓率、洗手正确率及洗手依从性均得到了明显提高;医师、护士、工勤人员手卫生相关知识的平均知晓率分别为87.69%、94.17%、77.46%,正确洗手合格率分别为88.46%、95.83%、94.37%,操作前洗手依从性分别为82.61%、91.60%、76.32%,操作后洗手依从性分别为91.30%、97.71%、92.11%。结论 "规范洗手周"活动的开展,普及了手卫生知识,提高了洗手质量及洗手依从性,显现了"规范洗手周"活动后成效,进一步推进了手卫生工作。OBJECTIVE To evaluate the hand hygiene-related knowledges,and hand washing compliance rates,after full participation ＂standard hand-washing Week＂.METHODS Development of ＂standard hand-washing Week＂ program,and conduct it,then followed up a month,from the post-activities to preliminary evaluation of create a ＂three A-level＂ cancer hospital.441 medical staff on hand hygiene and hand-washing technology related knowledge assessment questions,and observed 238 medical staff hand hygiene before and after operation,analysis the observations and assessment.RESULTS Through ＂standard hand-washing Week＂,doctors,nurses,workers and service personnel knowledge of hand hygiene awareness,proper hand washing and hand-washing compliance rate has been significantly improved both.hand hygiene-related knowledge awareness were 87.69%,94.17%,77.47%;proper hand washing compliance rates were 88.46%,95.83%,94.37%;wash their hands before operating compliance of 82.61%,respectively,91.60%,76.32%,Wash hands after handling compliance was 91.30%,97.71%,92.11%.CONCLUSION Through ＂Standard hand-washing Week＂ activities,the hand hygiene knowledge the quality of hand washing and hand-washing compliance of medical staff are improved,showing the ＂standard hand-washing week＂ after the effectiveness of hand hygiene to further promote the work.

关 键 词：手卫生 医务人员 依从性 效果 

分 类 号：R197.323[医药卫生—卫生事业管理]