摘要
目的为了解贵州省医院手卫生执行情况，评估手卫生工作持续质量改进效果。方法遴选贵州省9个地州市19所医院，按照wH0《多模式手卫生促进策略5要素》，集中培训，统一监测方案及统计软件，每月统计重点部门手卫生数据；数据录入0QSS软件系统进行统计处理。结果2013年5—12月19所医院综合ICU共观察11559人次手卫生时机，手卫生依从率为66．8％，其中医师依从率为68．4％、实习医师为66．9％、护士为71．9％、实习护士为63．2％、保洁员及护理员为52．2％、其他人群为36．4％；单项目指征手卫生依从率分别为：清洁／无菌操作前61．8％、接触血液／体液后81．2％、接触患者后77．6％、接触患者前53．1％、接触患者周围环境后61．1％；5月手卫生依从率为59．3％，6—12月手卫生依从率波动范围为63．8％～70．4%，5月分别与6—12月手卫生依从率进行Y。检验，差异有统计学意义（P〈0．01）；快速手消毒剂平均住院日消耗量为41ml，洗手液平均住院日消耗量35m1，平均住院日手卫生次数为50次。结论贵州省19所医院同时开展手卫生促进项目，获得省重点部门手卫生基线调查数据，手卫生依从率有待进一步提高，应加强对接触患者前手卫生督导，加强对保洁员、护理员及探视家属等其他人群手卫生宣教，从而确保医疗安全。
OBJECTIVE To understand the status of implementation of hand hygiene in the hospitals of Guizhou province and evaluate the effect of continuous quality improvement for hand hygiene. METHODS Totally 19 hospi- tals extracted from 9 cities of Guizhou province were enrolled in the study, then the training was conducted by re- ferring to the Five elements for multimodal hand hygiene improvement strategies of WHO , the uniform surveil- lance program and statistical software were adopted, the data of hand hygiene of the key departments were taken for statistics very month, and the statistical analysis was performed with the use of data input OQSS software. RESULTS From May 2013 to Dec 2013, totally 11 559 times of hand hygiene opportunities were observed in the general ICUs of 19 hospitals, and the hand hygiene compliance was 66.8%; the hand hygiene compliance of the doctors was 68.4%, the interns 66.9%, the nurses 71.9%, the practice nurses 63.2%, the cleaning staff and other nursing staff 52.2%, other populations 36.4%. Of the hand hygiene compliance for single indication, the hand hygiene complicated was 61.8 % before the cleaning or aseptic operation, 81.2% after contacting with blood or body fluid, 77.6% after contacting with the patient, 53. 1% before contacting with the patient, 61.1% after contacting with surroundings of the patient. The hand hygiene compliance was 59.3% in May and ranged from 63.8% to 70.4% in between Jun and Dec, and the chi-square test indicted that the difference in the hand hygiene compliance between May and Jun-Dec was significant（P〈0.01）. During the hospital stay, the average consump- tion of rapid hand disinfectants was 41 ml, the consumption of the hand sanitizer was 35 ml, and the average fre- quency of hand hygiene was 50 times. CONCLUSION The 19 hospitals of Guizhou province conduct the hand hy-giene promotion programs at the same time and acquire the the hand hygiene compliance needs to be further improved. baseline investigation data from the key departments; It is necessary to strengthen the supervision of hand hygiene before contacting with the patient and enhance the hand hygiene propaganda to the cleaning staff, nursing staff, and visiting family members so as to ensure the medical safety.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第10期2566-2568,共3页
Chinese Journal of Nosocomiology
基金
贵州省科技厅基金资助项目(黔科合LS字[2012]017)
贵州省科学技术基金资助项目(GZWKj2012-1-114)
关键词
医院
手卫生
促进
项目
研究
Hospital
Hand hygiene
Promotion
Program
Study
