PDCA循环管理模式在提升医护人员手卫生依从性的价值分析

Analysis of the Value of PDCA Cycle Management Model in Improving Hand Hygiene Compliance among Medical Staff

目的探讨对医护人员采用PDCA循环管理模式对手卫生依从的影响。方法选取2020年2月—2023年5月安顺市妇幼保健院的42名医护人员为研究对象。按管理方法进行分组,参照组(n=21)采用常规管理模式,研究组(n=21)采用PDCA循环管理模式。对比两组医护人员的手卫生依从性、手卫生相关知识评分。结果研究组医护人员手卫生依从性高于参照组,差异有统计学意义(P均<0.05)。研究组手卫生指征(90.25±3.12)分、七步洗手法(90.44±2.25)分、消毒原则(90.63±2.25)分、洗手时间(90.17±3.25)分、消毒方式(90.49±2.25)分高于参照组[(85.35±2.15)分、(85.63±3.17)分、(85.11±4.25)分、(85.13±2.26)分、(85.66±2.25)分],差异有统计学意义(t=5.926、5.670、5.260、5.834、6.955,P均<0.05)。结论医院对医护人员合理采用PDCA循环管理模式进行管理,可将手卫生依从性提升。

Objective To explore the impact of using PDCA cycle management model for medical staff on hand hygiene adherence.Methods Forty-two medical staff of Anshun Maternal and Child Health Care Hospital from February 2020 to May 2023 were selected as study subjects.They were grouped according to the management method,with the reference group(n=21)adopting the conventional management mode and the research group(n=21)adopting the PDCA cycle management mode.The hand hygiene compliance and hand hygiene related knowledge scores of healthcare workers in the two groups were compared.Results The hand hygiene compliance of healthcare workers in the study group was higher than that of the reference group,and the difference was statistically significant(all P<0.05).The scores of hand hygiene indication was 90.25±3.12,seven-step washing method was 90.44±2.25,disinfection principle was 90.63±2.25,hand washing time was 90.17±3.25,and disinfection method was 90.49±2.25 in the study group,which were higher than 85.35±2.15,85.63±3.17,85.11±4.25,85.13±2.26,85.66±2.25 in the reference group,and the differences were statistically significant(t=5.926,5.670,5.260,5.834,6.955,all P<0.05).Conclusion Reasonable use of PDCA cycle management mode for medical staff in hospitals can improve hand hygiene compliance.