应用感控工作间APP辅助隐蔽式现场观察法调查医护人员手卫生依从性

Application of infection control workshop APP-assisted concealed on-the-spot observation method in surveying hand hygiene compliance of health care workers

目的应用感控工作间APP辅助隐蔽式现场观察法调查医护人员手卫生依从性。方法选取2016年1月—2018年10月某院全体医护人员为研究对象,于2017年1月开始采用感控工作间APP辅助隐蔽式现场观察法调查医护人员手卫生依从率,并比较2016年(采用纸质调查表辅助隐蔽式现场观察法)、2017年、2018年1—10月的手卫生依从率差异。结果 2016、2017年、2018年1—10月分别调查医护人员1 201、1 237、1 234名,调查手卫生指征6 539、22 708、17 509次。2016年采用纸质调查表辅助隐蔽式现场观察法调查手卫生依从率为89.45%,2017年应用感控工作间APP辅助隐蔽式现场观察法调查手卫生依从率为60.76%,2018年1—10月手卫生依从率提高至69.06%。不同年份医护人员手卫生依从率比较,差异有统计学意义(P<0.001)。结论应用感控工作间APP辅助隐蔽式现场观察法较纸质调查表辅助隐蔽式现场观察法可获取更准确的医护人员手卫生依从性数据,对提高手卫生依从性有指导意义。

Objective To apply infection control workshop APP-assisted concealed on-the-spot observation method in surveying hand hygiene(HH)compliance of health care workers(HCWs).Methods All HCWs in a hospital from January 2016 to October 2018 were surveyed,infection control workshop APP-assisted concealed on-the-spot observation method was adopted to survey HH compliance rates of HCWs since January 2017,difference in HH compliance rates in 2016(adopting paper questionnaire-assisted concealed on-the-spot observation method),2017,and January-October of 2018 were compared.Results In 2016,2017,and January-October of 2018,1 201,1 237,and 1 234 HCWs were surveyed respectively,6 539,22 708,and 17 509 HH indications were surveyed respectively.HH compliance rate was 89.45%in 2016 revealed by paper questionnaire-assisted concealed on-the-spot observation method,60.76%in 2017 revealed by APP-assisted concealed on-the-spot observation method,and increased to 69.06%in January-October of 2018.Compliance rates of HH among HCWs in different years were significantly different(P<0.001).Conclusion Compared with paper questionnaire-assisted concealed on-the-spot observation,infection control workshop APP-assisted concealed on-the-spot observation method can obtain more accurate data of HH compliance of HCWs,which is of guiding significance for improving HH compliance.