规范化外科洗手图谱对提高肝胆外科医护人员手卫生合格率的效果分析

Analysis of standardized hand-washing spectrum for the improvement of the hand-washing hygiene rate for hepatobiliary surgery medical staff

目的探讨《规范化外科洗手图谱》对提高肝胆外科医护人员手卫生合格率的应用效果。方法根据中华人民共和国卫生部《消毒技术规范》和解放军总后勤部《医院感染管理技术规范》中对外科洗手程序、接台手术洗手、脱去手套后洗手的要求绘制《规范化外科洗手图谱》。纳入2011年1月至2013年10月参加手术的医护人员400名,按数字表法随机分为实验组与对照组,每组各200名。实验组人员按照规范化外科洗手图谱洗手,对照组人员采用传统教学法或凭经验洗手。结果实验组医护人员洗手程序合格率、手卫生合格率均高于对照组,细菌学检测阳性率、手术后患者医院感染发生率低于对照组,差异有统计学意义(P<0.01)。结论《规范化外科洗手图谱》可提高医护人员手卫生合格率,且简单、实用,值得推广。

Objective To investigate the effect of standardized hand-washing spectrum for the improvement of the hand-wash-ing hygiene rate for hepatobiliary surgery medical staff.Methods The standardized surgical hand-washing spectrum was developed in accordance with the requirements of pre-surgical hand-washing procedures,hand-washing of operation table distribution and hand-wash-ing after removing surgical gloves,as specified in《the Technical Standards for Disinfection》（the Ministry of Health of the People′s Re-public of China）and 《the Technical Standards for Nosocomial Infection Management》（the General Logistics Department of PLA）.Four hundred surgical personnel involved in surgeries were enrolled for the study and were randomized into the experimental group and the control group,each consisting of 200 people.The surgical personnel in the experimental group washed their hands as required by the standardized hand-washing spectrum,and those in the control group washed their hands with conventional methods or by experience. Results The qualification rates of hand-washing procedures and hand hygiene in the medical personnel of the experimental group were all significantly higher than those of the control group.The positive rate of bacteriological detection and the incidence of nosocomial in-fection in the surgical patients of the experimental group were lower than those of the control group,and statistical significance could be seen,when comparisons were made between the 2 groups （P 〈0.01）.Conclusion The standardized hand-washing spectrum,which was simple and practical for use,could increase the qualification rate of hand hygiene in the medical staff.