集束化手卫生干预对控制基层综合医院医院感染的效果

Effect of bundle hand hygiene intervention in controlling healthcareassociated infection in a primary comprehensive hospital

摘要:

目的探讨集束化手卫生干预对控制基层综合医院医院感染的效果，以达到提高手卫生依从性、正确率，降低医院感染发生率的目的。方法于2014年1—6月对某院临床科室医务人员实施集束化手卫生干预，对比干预前后医务人员手卫生知识知晓率、手卫生依从率和正确率、手消毒剂使用量及医院感染率的变化情况。结果实施干预半年后，医务人员手卫生知识(手卫生概念、意义、指征、洗手方法及手消毒剂使用)知晓率较干预前均有不同程度提高（均P＜0.05）；干预后医务人员手卫生依从性和正确率分别为77.92%、76.47%，高于干预前的49.78%和37.72%，各组比较，差异具有统计学意义(均P＜0.05)。手消毒剂使用量从干预前的每床日2.14 mL上升至干预后的每床日4.63 mL， 医院感染率从干预前的1.97%降至干预后的1.54%，差异具有统计学意义(P＜0.05)。 结论对基层医院实施集束化手卫生干预，可提高医务人员手卫生知识知晓率、手卫生依从率和正确率，有效降低医院感染率。

关键词:

集束化干预; 手卫生; 基层医院; 综合医院; 医院感染

Abstract:

ObjectiveTo explore the effect of bundle hand hygiene intervention in controlling  healthcareassociated infection(HAI) in a primary comprehensive hospital, so as to improve hand hygiene compliance and correct rate,  and reduce AHI rate. MethodsIn JanuaryJune 2014, bundle hand hygiene intervention among health care workers (HCWs) in a hospital was performed, hand hygiene knowledge awareness rate, hand hygiene compliance and correct rate, hand sanitizer usage and HAI rate before and after intervention were compared. ResultsAfter performing intervention for six months, the awareness rate of hand hygiene knowledge(concept, significance, indications, methods, sanitizer use) of HCWs improved compared with before intervention (P＜0.05);hand hygiene compliance and correct rate were significantly higher than before intervention (77.92% vs 49.78%; 76.47% vs 37.72%) (P＜0.05). Hand sanitizer usage increased from  2.14mL/ bedday to 4.63 mL/ bedday , HAI rate decreased from 1.97% to 1.54% (P＜0.05).ConclusionBundle hand hygiene intervention can improve HCWs’ knowledge awareness, compliance and execution rate of hand hygiene, and effectively reduce HAI rate.

Key words:

bundle intervention; hand hygiene; primary hospital; comprehensive hospital; healthcareassociated infection