手消毒剂干洗手法在重症监护病房应用效果观察

Quick Hand Disinfection versus Six Steps Hand Washing in ICU

目的探索使用依从性高、临床效果好且方便快捷,更适用于重症监护病房(ICU)工作性质的洗手方法。方法ICU医护人员随机采用手消毒剂干洗手法与六步洗手法洗手,记录两者洗手依从性及所用时间,同时分别采样180名医护人员进行细菌学检测。结果手消毒剂干洗手法洗手合格率93.33%,效果显著优于六步洗手法(P<0.01);且所用时间明显少于六步洗手法,仅为(38.53±4.72)s(P<0.01);在医务人员中依从性达76.67%,而六步洗手法42.22%,两者差异有统计学意义(P<0.01)。结论手消毒剂干洗手法洗手效果好、使用依从性高,且提高了工作效率,是一种较好地解决ICU医务人员手部卫生的方法,具有临床推广价值。

OBJECTIVE To explore an effective method of hand hygiene in ICU.METHODS Doctors and nurses in ICU washed hand with quick hand disinfectant or six steps hand washing at random,the time and compliance of two methods were recorded and their effect was checked.RESULTS The compliance and effect of quick hand disinfection were better than six steps hand washing（P=0.000）,the time of quick hand disinfection was shorter than six steps hand washing（P=0.000）.CONCLUSIONS The quick hand disinfection has good effect and high compliance.It is a good way for hand hygiene in ICU to improve clinical effects and values.