手卫生依从性管理系统在医院感染管理中的效果评价

Effectiveness of hand hygiene compliance management system in management of healthcare-associated infection

目的评价手卫生依从性管理系统控制医院感染的效果。方法选取某大型三甲医院2020年7月—2021年6月呼吸ICU工作人员为研究对象,观察并分析应用手卫生依从性管理系统前后工作人员手卫生依从率和各项医院感染管理指标的变化。结果应用手卫生依从性管理系统后,不同岗位工作人员(含医生、护士和保洁)及整体手卫生依从率均提高(P<0.05);试验组医院感染发病率和多重耐药菌(MDROs)医院感染发生率均低于对照组(P<0.05)。结论应用手卫生依从性管理系统可有效提高工作人员手卫生依从率,减少医院感染的发生。

Objective To evaluate the effectiveness of hand hygiene(HH)compliance management system in the control of healthcare-associated infection(HAI).Methods From July 2020 to June 2021,staff in the respiratory intensive care unit of a tertiary first-class hospital were selected as research objects.Changes in staff’s HH compliance rate and HAI management indicators before and after the application of HH compliance management system were observed and analyzed.Results After applying HH compliance management system,overall HH compliance rate and HH compliance rates of staff at different job positions(including doctors,nurses,and cleaners)improved significantly(P<0.05).Incidence of HAI and HAI with multidrug-resistant organisms(MDROs)in the trial group were significantly lower than those in the control group(P<0.05).Conclusion The application of HH compliance management system can effectively increase staff’s HH compliance rate and reduce the occu-rrence of HAI.