手卫生宣传活动对ICU医护人员手卫生依从性的影响  

Analysis of the impact of Hand hygiene Program on hand hygiene compliance in an intensive-care unit

作　　者：程莉莉[1] 张秀月[1] 贾佳[2] 吉凯强[2] 于晓江[2] 赵鹤[3] 高茵茵 王大南[3] 

机构地区：[1]中国医科大学附属盛京医院医院感染管理办公室,辽宁沈阳110004 [2]中国医科大学附属盛京医院重症监护室 [3]中国医科大学 [4]中国疾病预防控制中心妇幼保健中心

出　　处：《中国预防医学杂志》2012年第2期96-99,共4页Chinese Preventive Medicine

基　　金：中华医学基金会项目(09-997);辽宁省自然科学基金项目(20102284)

摘　　要：目的评价手卫生活动对ICU医护人员手卫生依从性的干预效果。方法采用直接观察法观察ICU医护人员手卫生执行情况。结果 "接触患者前"的手卫生依从率,时段2明显高于时段1,且差异有统计学意义(χ2=6.950,P=0.008),见表1。时段3的手卫生依从率较时段2有显著下降,差异有统计学意义(χ2=6.615,P=0.013);"无菌操作前"手卫生依从率,时段1(χ2=11.636,P=0.001)及时段2(χ2=9.398,P=0.002)均明显高于时段3,时段1与时段2间,差异无统计学意义(χ2=0.132,P=0.717);"接触患者血液、体液后"手卫生依从率,时段2高于时段3(χ2=5.851,P=0.016),时段1与时段2,差异无统计学意义(χ2=0.320,P=0.572),时段2中使用ABHR的比例较时段1有明显的增加;"接触患者后"手卫生依从率,3个时段间,差异无统计学意义(χ2=4.889,P=0.087)。时段2及时段3中使用ABHR的比例较时段1有所升高;"接触患者周围环境后"手卫生依从率,时段1(χ2=20.636,P=0.000)及时段2(χ2=25.687,P=0.000)均明显高于时段3,时段3中,使用ABHR的比例有所下降。结论手卫生宣传活动普及了手卫生相关知识,提高了医务人员对手卫生的重视度及依从性。Objective To evaluate the effects of a hand hygiene program on compliance with hand hygiene in an adult intensive-care unit（ICU）.Methods Assessing the compliance rate of hand hygiene with direct monitor.Results The hand hygiene compliance rate at the moment of before touching a patient during section 2 was higher than section 1（χ2=6.950,P=0.008）;The hand hygiene compliance rate during section 3 was lower than section 2（χ2=6.615,P=0.013）;The hand hygiene compliance rate at the moment of before a clean/aseptic procedure during section 3 was lower than section 1（χ2=11.636,P=0.001）and section 2（χ2=9.398,P=0.002）,there was no difference between section 1 and section 2（χ2=0.132,P=0.717）;The hand hygiene compliance rate at the moment of after body fluid exposure risk during section 2 was higher than section 3（χ2=5.851,P=0.016）,there was no difference between section 1 and section 2（χ2=0.320,P=0.572）,during section 2,the rate of the use of ABHR increased significantly.There were no difference during the 3 sections at the moment of after touching a patient;The hand hygiene compliance rate at the moment of after touching patient surroundings during section 1 and 2 were higher than section 3,and the ABHR using declined.Conclusion The Hand hygiene program do popularize hand hygiene knowledge,promote a degree of attention and hand hygiene compliance of health care workers from ICU.

关 键 词：手卫生活动 手卫生依从性 医护人员 

分 类 号：R187[医药卫生—流行病学]