知信行模式在提高ICU医护人员手卫生依从性中的研究  

Research on the knowledge, belief and practice model in improving hand hygiene compliance of ICU medical staff

作　　者：魏际穷[1] WEI Jiqiong(Department of Critical Care Medicine,the Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330000,China)

机构地区：[1]南昌大学第二附属医院重症医学科,江西南昌330000

出　　处：《中国当代医药》2023年第19期116-119,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202130517)。

摘　　要：目的探讨知信行模式在提高重症监护室(ICU)医护人员手卫生依从性中的研究。方法选取2021年2月至2022年2月南昌大学第二附属医院112名ICU医护人员作为研究对象,按照随机数字表法分为对照组(56名)和观察组(56名)。对照组采用常规教育模式,观察组采用知信行模式。比较两组医护人员干预前后的手卫生相关知识问卷评分、手卫生依从率及手消毒剂使用情况。结果干预前,两组医护人员的手卫生相关知识、防控观念评分及总分比较,差异无统计学意义(P>0.05);干预后,两组医护人员的手卫生相关知识、防控观念评分及总分高于本组干预前,且观察组医护人员的手卫生相关知识、防控观念评分及总分高于对照组,差异有统计学意义(P<0.05)。本组干预前,两组医护人员的手卫生依从率比较,差异无统计学意义(P>0.05);干预后,两组医护人员的手卫生依从率高于本组干预前,且观察组医护人员的手卫生依从率高于对照组,差异有统计学意义(P<0.05)。干预前,两组医护人员的手消毒剂每床日使用量、每床日手卫生次数比较,差异无统计学意义(P>0.05);干预后,两组医护人员的手消毒剂每床日使用量大于本组干预前,每床日手卫生次数多于本组干预前,且观察组医护人员手消毒剂每床日使用量大于对照组,每床日手卫生次数多于对照组,差异有统计学意义(P<0.05)。结论知信行模式应用于ICU医务人员的手卫生管理效果显著,可有效强化手卫生知识水平,树立手卫生的信念,从而提高手卫生依从性。Objective To explore the research of knowledge,belief and practice model in improving hand hygiene compliance among medical staff in intensive care unit(ICU).Methods A total of 112 medical staff worked in the ICU of the Second Affiliated Hospital of Nanchang University from February 2021 to February 2022 were selected as the research subjects,they were divided into a control group(56)and an observation group(56)according to the random number table method.The control group adopted conventional education model,while the observation group adopted knowledge,belief and practice model.The hand hygiene related knowledge questionnaire scores,hand hygiene compliance rate and hand disinfectant usage between two groups of medical staff before and after intervention were compared.Results Before intervention,there were no statistically significant differences of hand hygiene related knowledge,prevention and control concept scores and total scores between the two groups of medical staff(P>0.05).After intervention,the hand hygiene related knowledge,prevention and control concept scores and total scores in the two groups of medical staff were higher than those before intervention,the observation group's medical staff's hand hygiene related knowledge,prevention and control concept scores and total scores were higher than those of the control group,the differences were statistically significant(P<0.05).Before intervention,there was no statistically significant difference in the compliance rate of hand hygiene between the two groups of medical staff(P>0.05).After intervention,the hand hygiene compliance rates of the two groups of medical staff were higher than those before intervention,the compliance rate of hand hygiene among medical staff in the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).Before intervention,there were no statistically significant differences in the daily use of hand disinfectants per bed and the frequency of hand hygiene per bed between two g

关 键 词：知信行模式 重症监护室 医护人员 手卫生 依从性 

分 类 号：R194[医药卫生—卫生事业管理]