基层医疗机构手卫生系统性干预效果

Effect of Systematic Hand Health Intervention in Primary Medical Institutions

目的 通过手卫生系统性干预措施提高医院工作人员手卫生正确性和依从性。方法 采用直接观察法,计算某基层医疗机构各类工作人员干预前手卫生的正确率、依从率和ATP检测合格率,通过系统性干预措施的实施,比较干预后各类人员手卫生正确率、依从率及合格率。结果 干预措施前后工作人员手卫生依从率分别为57.25%和83.00%,手卫生正确率分别是72.05%和95.74%,各评价指标经统计学分析,干预前后差异有统计学意义(P<0.05)。结论 基层医疗机构内采取系统性干预措施,能够有效提高各类工作人员手卫生的依从性和正确性,掌握正确的洗手方法能减少医务人员手部暂存的微生物,有利于医院感染的防控。

Objective To improve the correctness and compliance of hospital staff through systematic hand hygiene interventions.Methods Through the direct observation method, the correct rate, compliance rate and ATP test pass rate of all kinds of staff in a primary medical institution were calculated, and the correct rate, compliance rate and pass rate of hand hygiene were compared through the implementation of systematic intervention measures. Results The compliance rates of staff before and after the intervention were 57.25% and 83.00%, and the correct rate of hand hygiene was 72.05% and 95.74%, respectively, and the differences before and after the intervention were statistically significant(P<0.05). Conclusion Systematic intervention measures in primary medical institutions could effectively improve the compliance and correctness of hand hygiene of various staff, and correct hand washing methods could reduce the temporary microorganisms of medical staff, which is conducive to the prevention and control of hospital infection.