医务人员手卫生依从性教育结合PDCA循环对新生儿病房医院感染的影响  

Effect of health care workers′hand hygiene compliance education combined with PDCA cycle on incidence of nosocomial infections in neonatal wards

作　　者：陈琼[1] 郑芝蕾 郑毅[2] 陈晓春[1] CHEN Qiong;ZHENG Zhi-lei;ZHENG Yi;CHEN Xiao-chun(The Second Affiliated Hospital of Wenzhou Medical University ,Wenzhou , Zhejiang 325088, Chin)

机构地区：[1]温州医科大学附属第二医院新生儿科,浙江温州325088 [2]温州医科大学附属第二医院药房,浙江温州325088

出　　处：《中华医院感染学杂志》2018年第9期1411-1413,共3页Chinese Journal of Nosocomiology

摘　　要：目的探究手卫生依从性教育结合PDCA循环对医务人员手卫生依从性及新生儿医院感染的影响,为降低新生儿医院感染率提供理论依据。方法选取2014年6月-2016年7月27名医务人员作为研究对象,对医务人员实施手卫生依从性教育及PDCA;其中2014年6月-2015年6月为实施前,期间于医院新生儿病房接受诊断治疗的新生儿为450例;从2015年7月-2016年7月为实施后,期间于医院新生儿病房接受诊断治疗的新生儿为490例,比较实施前后新生儿医院感染率及医务人员手卫生依从率。结果实施后有9例新生儿发生感染,感染率为1.83%,低于实施前(χ~2=4.214,P=0.043<0.05);实施后医务人员在遵守无菌操作前后、接触患者前后和脱手套后,手卫生依从率均高于实施前,差异有统计学意义(P<0.05)。结论医务人员手卫生依从性教育结合PDCA循环能有效提高医务人员手卫生依从性,降低新生儿病房医院感染率,值得临床推广。OBJECTIVE To explore the impact of hand hygiene education combined with PDCA cycle on health care workers′hand hygiene compliance and incidence of nosocomial infections in neonates so as to provide theoretical basis for reduction of incidence of nosocomial infections in neonates.METHODS From Jun 2014 to Jul 2016,a total of 27 health care workers were recruited as the study objects,the hand hygiene compliance education and PDCA were carried out for the health care workers.Totally 450 neonates were treated in the neonatal wards before the hand hygiene compliance education and PDCA were carried out（from Jun 2014 to Jun 2015）,and 490 neonates were treated in the neonatal wards after the hand hygiene compliance education and PDCA were carried out（from Jul 2015 to Jul 2016）.The incidence of nosocomial infections in the neonates and the compliance rate of hand hygiene of the health care workers were compared before and after the hand hygiene compliance education and PDCA were carried out.RESULTS The incidence of nosocomial infections was 1.83%（9 cases）in the neonates after the hand hygiene compliance education and PDCA were carried out,significantly lower than that before the hand hygiene compliance education and PDCA were carried out（χ2=4.214,P=0.043 0.05）.The compliance rates of hand hygiene before and after following aseptic procedures,contacting with patients and after removing gloves were significantly higher after the hand hygiene compliance education and PDCA were carried out than before the hand hygiene compliance education and PDCA were carried out（P〈0.05）.CONCLUSIONThe hand hygiene compliance education combined with PDCA cycle may effectively improve the hand hygiene compliance of the health care workers and reduce the incidence of nosocomial infections in the neonates,and it is worthy to be promoted in the hospital.

关 键 词：手卫生依从性教育 PDCA循环 新生儿病房 医院感染 

分 类 号：R192[医药卫生—卫生事业管理]