消毒供应中心护理人员手卫生干预效果分析  

Effect analysis of the intervention on hand hygiene for nursing staff in central sterile supply department

作　　者：毛秦风 刘翠 MAO Qinfeng;LIU Cui(Xinjiang Urumqi First People’s Hospital Disinfection Supply Center,Urumqi 830000,Xinjiang,China)

机构地区：[1]乌鲁木齐市第一人民医院消毒供应中心,新疆乌鲁木齐830000

出　　处：《中国校医》2024年第5期393-395,共3页Chinese Journal of School Doctor

摘　　要：目的分析消毒供应中心(CSSD)护理人员手卫生依从性的主要原因与干预效果。方法选择CSSD2019年3月—2022年3月在职的护理人员50名,采用问卷调查影响手卫生依从性的原因,并依此实施相应的干预。对比干预前后护理人员手卫生知识掌握情况、手卫生依从性及手卫生质量。结果影响手卫生依从性的原因前3位分别为认知不足(88.00%)、工作量大(86.00%)及消毒液对皮肤的损伤(76.00%)。干预后护理人员手卫生概念、手卫生意义、手卫生重要性、七步洗手法评分分别为(90.89±5.71)分、(91.96±5.75)分、(92.93±4.65)分、(93.96±5.59)分,以及手卫生依从性为(94.98±5.01)%,均高于干预前的(82.79±5.63)分、(83.86±5.34)分、(85.17±4.75)分、(86.87±5.13)分、(89.82±5.65)%,差异均有统计学意义(P均<0.001)。干预后护理人员洗手后手卫生检测菌落数为(3.06±0.78)CFU/cm^(2),低于干预前的(6.12±1.05)CFU/cm^(2),差异有统计学意义(P<0.05)。结论针对CSSD护理人员手卫生依从性的影响原因,积极采取相应的干预措施,可提升其手卫生质量。Objective To analyze the main causes and intervention effects of hand hygiene compliance of nursing staff in central sterile supply department(CSSD).Methods A total of 50 nursing staff who were working in CSSD from March 2019 to March 2022 were selected to investigate the reasons affecting hand hygiene adherence and implement corresponding interventions.The hand hygiene knowledge,hand hygiene compliance and hand hygiene quality of nursing staff before and after the intervention were compared.Results The top three reasons affecting hand hygiene compliance were insufficient cognition(88.00%),heavy workload(86.00%),and skin damage caused by disinfectant(76.00%).After the intervention,the scores of hand hygiene concept,hand hygiene significance,hand hygiene importance,and seven-step handwashing method were(90.89±5.71),(91.96±5.75),(92.93±4.65),and(93.96±5.59),respectively,and the hand hygiene compliance was(94.98±5.01)%,all of which were higher than those before intervention:(82.79±5.63),(83.86±5.34),(85.17±4.75),(86.87±5.13)and(89.82±5.65)%,respectively,and the differences were statistically significant(all P<0.01).The number of colonies in hand hygiene testing after handwashing was(3.06±0.78)CFU/cm^(2),which was lower than that before intervention(6.12±1.05)CFU/cm^(2),and the difference was statistically significant(P<0.05).Conclusion Aiming at the influencing causes of hand hygiene compliance of CSSD nursing staff,active intervention measures can improve the quality of hand hygiene.

关 键 词：消毒供应中心 医院 手部卫生 依从性 

分 类 号：R472[医药卫生—护理学]