手卫生管理对烧伤科工作人员洗手依从性和感染率的影响  

Effects of hand hygiene management on hand washing compliance of working staffs and infection rates in Burn Unit

作　　者：易艳斌 吴英[1] 古丽芳[1] 陆彦项 夏艳萍[1] 吴容婵 黄运燕[1] 

机构地区：[1]中南大学湘雅医院烧伤重建外科,长沙410008 [2]湖南师大附中,长沙410006 [3]湖南环境生物职业技术学院,衡阳421009

出　　处：《中华现代护理杂志》2016年第14期1933-1935,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨在烧伤科实施手卫生管理对工作人员手卫生依从性和医院感染发生率的影响。方法2015年4—10月对烧伤科40名工作人员进行手卫生管理干预，干预措施包括完善科室手卫生设施、开展多形式的手卫生宣传、规范手卫生监督等。观察干预前后手卫生执行情况，并比较干预前后医院感染发生率。结果干预前，医生、护士、护理员、保洁员洗手依从性分别为41．5％，45．7％，31．0％，29．0％，干预后分别为88．8％，91．7％，74．9％，68．8％，干预后所有工作人员手卫生依从性均提高，差异有统计学意义（P ＜0．01）。干预前后医生和护士的手卫生依从性均高于护理员和保洁员，差异有统计学意义（P ＜0．01）。干预前感染发生率为13．2％，干预后为6．8％，干预后医院感染发生率低于干预前，差异有统计学意义（P ＜0．05）。结论采取有效的手卫生管理措施，可提高烧伤科工作人员的洗手依从性，有效降低医院感染的发生率。Objective To explore the effects of hand hygiene management on hand washing compliance of staff members and infection rates in Burn Unit.Methods From April 201 5 to October 201 5,40 staffs in Burn Unit received the hand hygiene management intervention,including perfecting facilities of hand hygiene, carrying out propaganda and standardizing the supervision,and so on.The hand washing compliance of staffs and infection rates in burn unit were observed before and after interventions.Results Before interventions,the hand hygiene compliance of doctors,nurses,nursing assistants,cleaning workers were 41 .5%,45.7%, 31 .0%,29.0%,lower than 88.8%,91 .7%,74.9%,68.8% after the interventions,and all staffs improved the compliance of hand hygiene （P 〈0.01 ）.Before and after interventions,the compliance in doctors and nurses was higher than that of caregiver and cleaner （P 〈0.01 ）.The hospital infection rate was reduced from 1 3.2% before interventions to 6.8% after interventions（P 〈0.05 ）.Conclusions To make effective hand hygiene management measures can improve the hand hygiene compliance of staffs in Burn Department and effectively reduce the hospital infection rate.

关 键 词：烧伤科 医院感染 手卫生 依从性 工作人员 

分 类 号：R197.32[医药卫生—卫生事业管理]