综合量化评分对提高医务人员手卫生依从性的影响研究  

Study on Influence of Comprehensive Quantitative Score in Improving Hand Hygiene Compliance of Medical Staffs

作　　者：严海斌 张丽[2] 袁纯[1] 王梦华 胡芸[1] YAN Hai-bin;ZHANG Li;YUAN Chun;WANG Meng-hua;HU Yun(Department of Infection Control ,Maternal and Child Health Hospital of Jiujiang,Jiujiang Jiangxi 332000,China;Clinical Laboratory,Maternal and Child Health Hospital of Jiujiang,Jiujiang Jiangxi 332000,China)

机构地区：[1]九江市妇幼保健院感染管理科,江西九江332000 [2]九江市妇幼保健院检验科,江西九江332000

出　　处：《抗感染药学》2019年第9期1539-1543,共5页Anti-infection Pharmacy

基　　金：江西省卫生计生委科技计划基金项目(编号：20197155)

摘　　要：目的:探究综合量化评分对医务人员手卫生依从性的影响。方法:采用综合量化评分法,分析某“三级甲等"妇幼保健院医务人员手卫生依从性,比较干预前(2018年10—12月)和干预后(2019年1—6月)医务人员手卫生依从率、手卫生知识、技能考核合格率和每床日手卫生用品消耗量的差异。结果:干预后医务人员手卫生依从率(77.93%)高于干预前(44.65%5),干预后较干预前提高了效率33.28%;干预后不同岗位医务人员手卫生时机依从率均高于干预前(均P<0.05),科室医务人员手卫生知识及技能考核合格率均高于干预前(均P<0.05),手卫生用品消耗量干预后为7.00mL/床日较干预前多消耗了2.82mL/床日。结论:采用综合量化评分与持续监测、评价及反馈相结合的方法,也是一项简便、行之有效的手卫生管理方法,有效提高了医务人员对手卫生的自觉性和依从性,遏制了医院感染的发生,确保了患者治疗期间的安全性。Objective:To explore the influence of comprehensive quantitative score on medical staff's compliance with hand hygiene.Methods:A comprehensive quantitative scoring method was used to analyze the hand hygiene compliance of medical staff in a maternal and child health care hospital of " Third Level A Degree".The differences of hand hygiene compliance rate,pass rate of hand hygiene knowledge and skill examination and hand hygiene product consumption were compared per bed and day between the medical staffs before the intervention (from October 2018 to December 2018) and after the intervention (from January 2019 to June 2019).Results:The hand hygiene compliance rate of medical staff after intervention (77.93%) was higher than that before intervention (44.65%),and the efficiency was improved by 33.28% compared with that before intervention.The compliance rate of hand hygiene time of medical staff in different posts after intervention was higher than that before intervention (all P<0.05),and the pass rate of examination of hand hygiene knowledge and skills of medical staff in departments was higher than that before intervention (all P<0.05).The consumption of hand hygiene products after intervention was 7.00 mL/(bed · day),2.82 mL/(bed · day) more than that before intervention.Conclusion:Comprehensive quantitative scoring combined with continuous monitoring, evaluation and feedback is also a simple and effective hand hygiene management method.The medical staff awareness and compliance with hand hygiene were effectively improved.The occurrence of nosocomial infection was curbed and the safety of patients during treatment was ensured.

关 键 词：医务人员 手卫生 依从性 综合量化评分 医院感染 

分 类 号：R969.3[医药卫生—药理学]