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学科主题: 临床医学
题名:
重症监护病房医务人员手卫生依从性多中心干预效果
其他题名: Effectiveness of multicenter intervention in hand hygiene compliance among health care workers in intensive care units
作者: 李六亿1; 吴安华1; 胡必杰1; 李卫光1; 侯铁英1; 刘运喜1; 建国1; 宗志勇1; 杨怀1; 杨芸1; 陆群1; 张秀月1; 冯亚静1; 赵一飞1
关键词: 重症监护病房 ; ICU ; 医务人员 ; 洗手 ; 手卫生 ; 依从率 ; 综合干预 ; 多中心研究 ; intensive care unit ; health care worker ; hand washing ; hand hygiene ; compliance rate ; comprehen-sive intervention ; multicenter study
刊名: 中国感染控制杂志
发表日期: 2015
DOI: 10.3969/j.issn.1671-9638.2015.08.003
期: 8, 页:513-517
收录类别: 中国科技核心期刊
文章类型: Journal Article
摘要: 目的:通过多中心研究评价综合干预措施对提升重症监护病房(ICU)医务人员手卫生依从率的效果。方法选取12个省市47所医院,按照世界卫生组织(WHO)颁布的手卫生调查方法,于2013年10月—2014年9月采用直接观察法,对 ICU 医务人员手卫生依从率进行调查,并比较干预前后手卫生依从率的变化。结果ICU医务人员手卫生依从率从干预前的73.70%(11155/15135)提升至干预后的78.70%(18206/23132),差异有统计学意义(χ2=128.16,P <0.01);干预后,不同地区中,除东北地区外,其他地区/系统医务人员手卫生依从率均较干预前提升(均 P <0.05);综合 ICU、呼吸 ICU、急诊 ICU 和外科 ICU 干预后手卫生依从率均较干预前提升(均 P<0.05);不同岗位医务人员干预后手卫生依从率均较干预前提升(均 P <0.05);直接接触患者前、进行清洁或无菌操作前、直接接触患者后及接触患者周围环境后的手卫生依从率均较干预前提升,差异均有统计学意义(均 P <0.01)。结论采取综合干预措施,有助于提升 ICU 医务人员手卫生依从率。 Objective To evaluate the effect of comprehensive intervention measures on improving hand hygiene (HH)compliance of health care workers(HCWs)in intensive care units (ICUs)by multicenter study.Methods A total of 47 hospitals in 12 provinces and cities were enrolled in the study,from October 2013 to September 2014, HH compliance among HCWs in ICUs was investigated according to World Health Organization HH investigation method,HH compliance rates before and after intervention were compared.Results HH compliance rate of HCWs in ICUs increased from 73.70%(11 155/15 135)before intervention to 78.70%(18 206/23 132)after intervention (χ2 =128.16,P <0.01);except northeast region ,HH compliance of HCWs in the other provinces increased signif-icantly after intervention(all P <0.05);among all departments,HH compliance of HCWs in general ICUs,respira-tory ICUs,emergency ICUs,and surgical ICUs increased significantly(all P <0.05);HH compliance of HCWs of all kinds of occupations increased significantly(all P <0.05);HH compliance rates before touching a patient,before clean/aseptic procedure,after touching a patient,and after touching patient surroundings increased significantly after intervention(all P <0.01 ).Conclusion Comprehensive interventions are helpful for improving HH compliance of HCWs in ICUs. Objective To evaluate the effect of comprehensive intervention measures on improving hand hygiene (HH)compliance of health care workers(HCWs)in intensive care units (ICUs)by multicenter study.Methods A total of 47 hospitals in 12 provinces and cities were enrolled in the study,from October 2013 to September 2014, HH compliance among HCWs in ICUs was investigated according to World Health Organization HH investigation method,HH compliance rates before and after intervention were compared.Results HH compliance rate of HCWs in ICUs increased from 73.70%(11 155/15 135)before intervention to 78.70%(18 206/23 132)after intervention (χ2 =128.16,P <0.01);except northeast region ,HH compliance of HCWs in the other provinces increased signif-icantly after intervention(all P <0.05);among all departments,HH compliance of HCWs in general ICUs,respira-tory ICUs,emergency ICUs,and surgical ICUs increased significantly(all P <0.05);HH compliance of HCWs of all kinds of occupations increased significantly(all P <0.05);HH compliance rates before touching a patient,before clean/aseptic procedure,after touching a patient,and after touching patient surroundings increased significantly after intervention(all P <0.01 ).Conclusion Comprehensive interventions are helpful for improving HH compliance of HCWs in ICUs.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/48297
Appears in Collections:北京大学第一临床医学院_期刊论文

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作者单位: 1.北京大学第一医院,北京,100034
2.中南大学湘雅医院,湖南 长沙,410008
3.复旦大学附属中山医院,上海,200032
4.山东省立医院,山东 济南,250021
5.广东省人民医院,广东 广州,510008
6.解放军总医院,北京,100853
7.郑州大学第一附属医院,河南 郑州,450052
8.四川大学华西医院,四川 成都,610041
9.贵州省人民医院,贵州 贵阳,550002
10.山西医学科学院山西大医院,山西 太原,030001
11.浙江大学医学院附属第二医院,浙江 杭州,310009
12.中国医科大学附属盛京医院,辽宁 沈阳,110004

Recommended Citation:
李六亿,吴安华,胡必杰,等. 重症监护病房医务人员手卫生依从性多中心干预效果[J]. 中国感染控制杂志,2015(8):513-517.
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