体检中心人员手卫生现状调查与干预效果研究  

Current status of hand hygiene in examination center and effects of interventions

作　　者：徐桂娟[1] 陈莉[1] 

机构地区：[1]莱芜市人民医院体检中心,山东莱芜271100

出　　处：《中华医院感染学杂志》2013年第11期2705-2707,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解体检中心人员手卫生状况,探讨采取相应的干预措施后,医务人员手卫生依从性与合格率。方法对体检中心全体医护人员进行问卷调查和手卫生监测,根据调查和监测结果进行手卫生干预,每月检查考核1次,6个月后再次进行问卷调查和手卫生监测,了解持续干预后体检中心人员手卫生依从性。结果干预后体检中心医务人员手卫生知识掌握平均得分由(74.8±6.2)分提高至(94.6±2.8)分;洗手率由71.8%提高至97.4%;洗手正确率由70.5%提高至92.3%;洗手后手部微生物由(18.1±5.3)CFU/cm2降低至(10.1±3.8)CFU/cm2;各项指标与干预前比较,差异有统计学意义(P<0.05)。结论加强对体检中心人员手卫生干预,能有效提高手卫生依从性和合格率,有效预防和控制医院感染的发生。OBJECTIVE To understand the status of hand hygiene of the medical staff in the examination center and observe the compliance of hand hygiene after the corresponding interventions are taken. METHODS The question-naire and hand hygiene monitoring were performed for the medical staff of the examination center. According to the results of the investigation and monitoring, the interventions to the hand hygiene were implemented, the in-spections and checks were taken once a month. The questionnaire investigation and the monitoring of hand hygiene were performed after six months. The compliance of hand hygiene of the medical staff was investigated after the continuous interventions. RESULTS After the intervention, the average score of hand hygiene knowledge in the examination center increased from （74.8±6.2） points to （94.6 ± 2.8） points. The hand washing rate increased from 71.8% to 97.4%, the rate of proper hand washing increased from 70.5% to 92.3% ; the bacterial colony counts after hand washing decreased from （18.1±5.3） CFU/cm^2 to （10.1 ± 3.8） CFU/cm^2 ; the difference in the indexes between before and after the interventions was statistically significant（P〈0.05）. CONCLUSION To strengthen the invention to hand hygiene of the medical staff in the examination center can effectively improve the hand hygiene compliance and is an effective way to prevent and control nosocomial infections.

关 键 词：体检中心 手卫生 依从性 干预 医院感染 

分 类 号：R197.323[医药卫生—卫生事业管理]