某三甲医院门诊手卫生工作干预效果研究

Study on the effects of intervention in hand hygiene in outpatient clinic of a high grade hospital

目的评价某三甲医院门诊手卫生干预措施的效果。方法采用手卫生集中培训、建立质控护士管理制度、改善手卫生设施等措施实施干预,评价干预前后门诊医务人员洗手依从性、手卫生理论与操作考核评分以及门诊患者对手卫生工作满意度的变化。结果门诊医务人员7~9月洗手的平均不依从率较前6个月降低了31.4%;与培训前相比,培训后的理论考核成绩95.0（IQR=91.3~96.0,Z=-6.04,P〈0.001）与操作考核成绩98.0（IQR=97.0~100.0,Z=-5.45,P〈0.001）均有所上升,门诊患者对手卫生工作的满意度也从56.0%上升至78.0%（χ2=5.47,P=0.019）。结论实施手卫生系列干预措施可有效地提高门诊医务人员对手卫生知识的认识,增强洗手操作规范性,提高洗手的依从性。

Objective To evaluate the intervention effectiveness on hand hygiene in outpatient clinic of a high grade hospital. Methods The interventions included centralized training,infection control nurses management of regulations,and improvement of hand hygiene facilities. The professionals＇ hand hygiene compliance,the score in theoretical and practical testing,and satisfaction towards hand hygiene among outpatients were evaluated both before and after intervention. Results The average hand washing non-compliance rate of July to September decreased by 31. 4%. After the intervention,the median score of hand hygiene theory and practice was 95. 0（ IQR = 91. 3-96. 0,Z =- 6. 04,P 〈0. 001） and98. 0（ IQR = 97. 0-100. 0,Z =- 5. 45,P 〈0. 001） respectively,which were significantly higher than those before intervention. The outpatients＇ satisfaction degree also increased from 56% to 78%（ χ2= 5. 47,P = 0. 019）. Conclusions Implementing a series of interventions in hand hygiene can effectively raise awareness of professionals on hand hygiene,intensify the standardization of hand washing and improve the hand hygiene compliance.