供应室人员手卫生的干预措施及效果

Supply Room Staff Hand Hygiene Interventions and Effects

目的:探讨提高供应室人员手卫生的干预措施,并对干预后的效果进行评价。方法:采用自制调查表的方法了解手卫生依从性差的原因,进而制定相应的干预措施。采用隐蔽式现场观察法对比手卫生干预前后手卫生依从性。结果:通过调查掌握了手卫生依从性差的原因,并制定了干预措施。干预前后医务人员手卫生执行水平分别为45.63%和70.26%,其中护士手卫生执行水平分别为49.75%和74.47%,护工手卫生执行水平分别为39.56%和63.97%,差异均有统计学意义。证明干预措施效果显著。结论:本调查显示我科室手卫生干预前医务人员手卫生依从性只有45.63%,其中护士手卫生依从性为49.75%,明显高于护工手卫生依从性(39.56%)。且护士掌握正确洗手方法明显高于护工,但二者对洗手指征的掌握均很差。经过调查发现手卫生差的原因主要包括认识不足,知识缺乏;工作繁忙,依从性低;设备不足,操作麻烦;频繁洗手,损伤皮肤;从众心理,缺乏监管这五大方面。我院通过提高认识,增强培训;按劳分配,合理安排;更新用物,改善方法;完善制度,加强监控等干预措施,可以显著提高了全体工作人员手卫生的依从性。

Objective： To explore ways of improving the supply room staff hand hygiene interventions, and the effects were evaluated after the intervention. Methods： The self-made survey form approach to understanding the causes of poor hand hygiene compliance, leading to the development of appropriate interventions. The hidden field observation contrast hand hygiene interventions before and after hand hygiene compliance. Results： Grasp the causes of poor hand hygiene compliance, and to develop interventions. The nursing staff hand hygiene before and after the intervention level of implementation were 45.63% and 70.26%, respectively, nurse hand hygiene execution level of 49.75% and 74.47%, respectively, care workers hand hygiene level of implementation of 39.56% and 63.97%, respectively, the differences were statistically significant, indicating that the interventions effect is significant. Conclusions： The survey shows that my department hand hygiene intervention only 45.63% of the former medical staff hand hygiene compliance, nurse hand hygiene compliance was 49.75%, significantly higher than the nursing workers hand hygiene compliance （39.56%）. Handwashing and nurses to grasp significantly higher than nursing workers, but they grasp the hand washing indications are very poor. After an investigation found that poor hand hygiene reasons including lack of knowledge; busy working, low compliance; lack of equipment; Hand washing equently led to dry and cracked; lack of effective oversight mechanisms. Our hospital through increased awareness, enhanced training; distribution according to work, reasonable arrangements; update using physical improvement; improve the system, to strengthen monitoring and other interventions, can significantly improve the entire staffhand hygiene compliance.