重症监护病房患者参与监督对护士手卫生依从性的影响

Effect of patients' participating supervision on nurses' compliance to hand hygiene

目的探讨重症监护病房(ICU)患者参与监督对提高护士手卫生依从性的作用。方法采用现场观察与患者调查的方法调查ICU护士手卫生实施情况,并于2016年2月开始实施干预措施,比较干预后(2016年2—5月)与干预前(2015年11月—2016年1月)ICU护士手卫生依从性。结果共纳入患者81例,干预前组38例,干预后组43例。患者看见、听见或回忆护士进行了手卫生干预前后分别占52.63%(20/38)和88.37%(38/43),差异有统计学意义(χ~2=12.67,P<0.005);ICU护士干预后手卫生依从率在接触患者前后、无菌操作前、接触患者周围环境后4个方面均高于干预前(均P<0.01)。结论患者参与对提高ICU护士手卫生依从性切实可行,并值得推广。

Objective To evaluate the effect of patients＆#39; participating supervision on improving nurses＆#39; compliance to hand hygiene（HH） in intensive care unit（ICU）.Methods Implementation of HH of ICU nurses was investigated by field observation and investigation of patients, intervention measures were began to be implemented in February 2016, HH compliance among ICU nurses after（February-May 2016） and before （November 2015-January 2016） intervention was compared.Results A total of 81 patients were included in the study, 38 were in pre-intervention group and 43 were in post-intervention group.52.63%（20/38）in pre-intervention group and 88.37%（38/43）in post-intervention group seen, heard or recalled that nurses had performed HH, difference was significant（X2=12.67, P〈0.005）;after intervention, HH rates before and after touching a patient, before aseptic procedure, and after touching patient surroundings were all higher than before intervention （all P〈0.01）.Conclusion Patients＆#39; participation in improving HH compliance of ICU nurses is feasible, and it is worth to be popularized.