便携式手消毒剂在重症医学科工作人员手卫生中的应用

Application of portable hand sanitizer in hand hygiene of medical staff in intensive care unit

目的评价随身佩戴便携式手消毒剂对重症医学科工作人员手卫生依从性的影响。方法采用前后对照干预研究,为重症医学科32名工作人员配备60 mL小瓶免洗手消毒液,通过隐蔽观察重症医学科监控录像以及随机手部采样,测定手部细菌菌落总数和ATP生物荧光,采用问卷调查,对干预前后的手卫生依从性和满意度进行评价。结果调查发现总的手卫生依从率从干预前的54.26%提高至干预后的78.91%,差异有统计学意义(P<0.05);干预后手卫生用品的消耗量也明显升高,每床日手卫生次数从干预前的28.71次增加至干预后的45.94次;随机抽查工作人员手部菌落计数及ATP生物荧光检测合格率均较高,提示手卫生的正确性与干预前相比无明显变化(P>0.05);通过问卷调查,工作人员对便携式手消毒剂满意度较高,认为佩戴便携式手消毒剂能增加手卫生依从性。结论随身佩戴便携式手消剂可有效提高重症医学科人员手卫生依从性。

Objective To evaluate the effect of wearing portable hand sanitizer on the hand hygiene compliance of medical staff in intensive care unit(ICU).Methods A before-after control intervention study was conducted,in which 32 medical staff in ICU were equipped with 60 mL vial of portable hand sanitizer.The concealed observation method was used to observe the surveillance video of ICU,random hand sampling method was used to determine the total number of bacterial colonies and ATP bioluminescence in hands,and questionnaire survey was used to evaluate the hand hygiene compliance and satisfaction before and after the intervention.Results The survey found that the overall compliance rate of hand hygiene increased from 54.26%before the intervention to 78.91%after the intervention,and the difference was statistically significant(P<0.05).The consumption of hand hygiene products also increased significantly after the intervention,with the estimated number of hand hygiene times per bed-day increased from 28.71 times before the intervention to 45.94 times after the intervention.The qualified rates of colony count and ATP bioluminescence detection in medical staff’s hands in random sampling were high,indicating that there was no significant change in the correctness of hand hygiene compared to that before the intervention(P>0.05).The questionnaire survey showed that medical staff were satisfied with the portable hand sanitizer and believed that using the portable hand sanitizer could increase hand hygiene compliance.Conclusion Portable hand sanitizer can effectively improve the hand hygiene compliance of medical staff in ICU.