摘要
目的探讨手卫生多维度培训策略建立前后对进修人员手卫生依从性的影响。方法通过调查北京协和医院重症医学科新入科进修人员手卫生依从性,针对2016年上半年入科进修人员手卫生培训后手卫生依从性差的情况,下半年采用"标准化手卫生系列讲座""院感小组考核评价""临床操作check list""增设手卫生督导岗位"等一系列方法的手卫生多维度培训策略进行手卫生培训,并评价2016年手卫生多维度培训策略建立前后入科进修人员手卫生依从性。结果进修医生的手卫生依从性从上半年的44. 9%(318/709)上升至下半年的81. 4%(991/1 217),手卫生依从性相差36. 5%(P<0. 001)。进修护士的手卫生依从性从上半年的63. 1%(318/709)上升至下半年的91. 9%(2 177/2 368),手卫生依从性相差28. 8%(P<0. 001)。结论手卫生多维度培训策略的建立在短期内显著提升进修人员的手卫生依从性,为预防重症患者院内感染的培训提供参考。
Objective To investigate the influence of the multi-dimensional hand hygiene education on the hand hygiene compliance in refresher medical workers before and after the multi-dimensional hand hygiene education.Methods For the poor hand hygiene compliance of the refresher workers in Intenive Care Unit of Peking Union Medical College Hospital after the training in the first half of 2016,a multi-dimensional hand hygiene education have been performed with aim to improve hand hygiene compliance of newly-entered refresher.The multi-dimensional hand hygiene education bundle include“standardized hand hygiene series lectures”,“hospital sense group assessment”,“clinical operation check list”and“addition of hand hygiene supervision post”.Results The trainees,who joined the department in the second half of 2016,enrolled in the training of hand hygiene.The refresher doctors hand hygiene compliance rose from 44.9%(318/709)in the first half to 81.4%(991/1 217)in the second half.Hand hygiene compliance difference is 36.5%(P<0.001),there are significant differences.The hand hygiene compliance of refresher nurses rose from 63.1(318/709)in the first half to 91.9%(2 177/2 368)in the second half.Hand hygiene compliance difference is 28.8%(P<0.001);there are significant differences.Conclusions The established training model of hand hygiene could significantly improve the hand hygiene compliance of the trainees in a short-term.
作者
孙小南
何怀武
马鸿鸣
张媛媛
孙建华
刘大为
SUN Xiao-nan;HE Huai-wu;MA Hong-ming;ZHANG Yuan-yuan;SUN Jian-hua;LIU Da-wei(Dept.of Critical Care Medicine,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China)
出处
《基础医学与临床》
CSCD
2018年第11期1665-1668,共4页
Basic and Clinical Medicine
基金
北京协和医学院2016年"基础临床课程改革-基于器官间及重症临床思维的课程建设"(2016zlgc0128)
中华医学会医学教育分会和中国高等教育学会医学教育专业委员会2016年医学教育研究立项课题(2016B-PG013)
关键词
手卫生
院内感染
依从性
多维度
hand hygiene
nosocomial infection
compliance
multi-dimension
