情景模拟训练在提高医院保洁员与护理员洗手依从性中的应用  

Improving handwashing compliance of the cleaning and nursing staff of the hospitals through scene simulation training

作　　者：吴立燕[1] 徐立群[1] 徐长青[1] 冯国和[1] 王钰美[1] 

机构地区：[1]杭州师范大学附属医院呼吸内科,浙江杭州310015

出　　处：《健康研究》2015年第3期246-247,250,共3页Health Research

摘　　要：目的探讨应用情景模拟训练提高医院保洁员和护理员的洗手依从性。方法应用自行设计的调查问卷,对我院保洁员和护理员进行洗手依从性调查,根据问卷分析结果设计相应的情景模拟训练方法,对被调查人员进行统一培训,培训结束后1个月,再应用相同的问卷对研究对象进行调查,并比较培训前后洗手依从性情况。结果情景模拟训练后,保洁员和护理员对影响洗手依从性各因素的赞同比例均显著下降(均P<0.001),标准洗手依从性由8.8%提高到52.2%。结论应用情景模拟训练,能有效提高医院保洁员和护理员的洗手依从性,降低接触传染的机会,从而进一步降低医院感染的发生率。Objective To develop an approach intended to improve handwashing compliance of hospital cleaning and nursing staff through scene simulation training.Method A self-designed questionnaire was used to collect information of the status quo of handwashing compliance in the cleaning and nursing staff.A scene simulation training scheme was then developed in light of the results of the survey conducted.The surveyed staff were then trained for one month’ s time according to the scheme.The surveyed staff’ s handwashing compliance before and after training was then compared. Findings The survey indicated that after training the percentage of the staff that ascribed various factors to their not washing-hand behavior decreased significantly （P 〈0.001）.Standardized handwashing compliance in the staff surveyed in terms of percentage increased from 8.8% to 52.2%.Conclusion The training approach as we developed can significantly improve the handwashing compliance of the cleaning and nursing staff, reduce cases of infection through body contact, and thus reduce the incidence of contagious diseases within the hospital.

关 键 词：保洁员 护理员 手卫生 情景模拟训练 

分 类 号：R1[医药卫生—公共卫生与预防医学]