患者参与提高医护人员手卫生依从性的应用研究  

Application research on patient's involvement and supervision mechanismin improving hand hygiene compliance of medical staff

作　　者：戴雨梅[1] 张立洪[1] 何云霞[1] 申添名[1] 高萍[1] 潘虹霞[1] 

机构地区：[1]江苏省泰兴市人民医院护理部,江苏泰兴225400

出　　处：《实用临床医药杂志》2015年第16期46-49,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨引入"患者参与监督"机制对提高医护人员手卫生依从性的效果。方法建立手卫生示范病区,在示范病区邀请患者及家属配合、参与并监督手卫生示范病区医护人员手卫生执行情况。采用手卫生依从性调查表对示范病区和非示范病区医护人员手卫生情况进行跟踪、观察,并对观察结果进行比较分析。结果干预前,示范病区与非示范病区的手卫生知晓率、洗手正确率、洗手依从性、洗手液用量差异均无统计学意义(P>0.05)。干预后,手卫生示范病区医护人员手卫生知识知晓率显著提高,且高于非示范病区,差异有统计学意义(P<0.05);示范区洗手正确率显著提高,并高于同期非示范病区,差异有统计学意义(P<0.05);干预前示范病区与非示范病区比较手卫生依从性无差异(P>0.05),干预后非示范病区及示范病区手卫生依从性均高于干预前(P<0.01),且示范病区高于非示范病区(P<0.01);所有病区洗手液用量均增加(P<0.01),且示范病区平均每床每日使用量多于非示范病区(P<0.01)。结论患者的积极配合、参与和监督,能有效提高医护人员手卫生依从性,有利于防止院内感染的发生。Objective To improve hand hygiene compliance of medical staff by introduction of patients involvement and supervision mechanism. Methods Demonstration wards of hand hy- giene were established and invited patients and their families to participate and supervise the imple- mentation of hand hygiene of the medical staff. The implementation of hand hygiene of the medical staff in the demonstration ward and non demonstration ward were traced and the observed by hand hygiene compliance questionnaire recommended by WHO guideline for hand hygiene. The results were analyzed. Results Before intervention, hand hygiene understanding rate and correct rate of hand washing, hand washing compliance, and hand washing liquid dosage had no significant differ- ence in the demonstration area and non demonstration ward （P 〉 0.05）. After the introduction of patients involvement and supervision mechanism, the hand hygiene understanding rate increased in the demonstration ward, and it was higher than that in the non demonstration ward at the same time（P〈0.05）. The correct rate of hand washing was higher than that in the non demonstration ward（P〈0.05）. The correct rate of hand washing after intervention was higher than that before intervention in the demonstration area, and it was higher in the demonstration ward than that in the non demonstration ward（P 〈 0.05）. Before the intervention , there were no significant difference in the compliance of hand hygiene in two group （P）＂ 0.05）, after intervention, the compliance of hand hygiene was higher than that before the intervention and it was higher in the demonstration ward than the in the non demonstration ward （P 〈 0.05）. The hand sanitizer consumption were increased in the demonstration ward and non demonstration ward （P 〈 0.05）. The average usage per bed per day in the demonstration ward was more than that in the non demonstration ward （P 〈 0.05）. Conclusion Patients involvement and supervision mechanism can effectively improve the hand hy

关 键 词：患者参与 手卫生 依从性 院内感染 

分 类 号：R472.1[医药卫生—护理学]