基于物联网技术的手卫生智慧云系统在新生儿科手卫生监测中的应用

Application of IoT technology-based hand hygiene smart cloud system in hand hygiene monitoring in neonatal department

目的 探讨基于物联网技术的手卫生智慧云系统在新生儿科手卫生监测中的应用。方法 选取某院新生儿科的工作人员为研究对象,利用手卫生智慧云系统收集2021年5月—2022年6月的手卫生依从率数据,与同期“直接观察法”记录的数据进行比较,分析手卫生智慧云系统的应用对工作人员手卫生依从性及数据真实性的影响。结果 使用手卫生智慧云系统后,医务人员手卫生依从率为89.76%,低于同期直接观察法的92.73%,差异有统计学意义(P<0.001)。不同岗位工作人员两种监测方法的手卫生依从率比较,护士手卫生智慧云系统监测的手卫生依从率低于直接观察法,差异有统计学意义(P<0.001)。接触患者前后、清洁无菌操作前手卫生智慧云系统监测的手卫生依从率均低于直接观察法,差异均有统计学意义(均P<0.05)。手卫生智慧云系统监测的不同工作时间段的手卫生依从率比较,差异有统计学意义(P<0.01)。手卫生智慧云系统监测的手消毒剂每床日消耗量为39.16 mL。结论 使用手卫生智慧云系统监测医务人员手卫生,可真实有效获取数据。

Objective To explore the application of hand hygiene(HH)smart cloud system based on Internet of things(IoT)technology in the monitoring of HH in neonatal department.Methods Staff in the neonatal department of a hospital were selected as the research objects.Data about HH compliance rate from May 2021 to June 2022 were collected using the HH smart cloud system and compared with data recorded using the“direct observation method”during the same period.The impact of the application of HH smart cloud system on staff’s HH compliance and data authenticity were analyzed.Results After using the HH smart cloud system,HH compliance rate of medical staff was 89.76%,which was lower than 92.73%recorded using the direct observation method during the same period,with statistically significant difference(P<0.001).When comparing the HH compliance rates obtained by the two monitoring methods for staff at different job positions,nurse’s HH compliance rate monitored by the smart cloud system was lower than that observed directly,with statistically significant difference(P<0.001).HH compliance rates monitored by the smart cloud system were lower than those observed directly before and after contact with patients,before clean aseptic procedures,differences were statistically significant(all P<0.05).HH compliance rates monitored by HH smart cloud system during different working hours showed statistically significant differences(P<0.01).Daily consumption of hand disinfectants monitored by HH smart cloud system was 39.16 mL per bed.Conclusion Using the HH smart cloud system to monitor the HH of medical staff can obtain real and effective data.