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学科主题: 临床医学
题名:
新生儿重症监护病房医务人员手卫生依从性多中心干预研究
其他题名: A multicenter intervention study on hand hygiene compliance of health care workers in neonatal intensive care units
作者: 任军红1; 吴安华1; 胡必杰1; 张秀月1; 侯铁英1; 宗志勇1; 李卫光1; 杨怀1; 杨芸1; 刘运喜1; 建国1; 陆群1; 贾会学1; 李六亿1
关键词: 新生儿重症监护病房 ; 手卫生依从性 ; 多中心 ; 干预研究 ; 医院感染 ; neonatal intensive care unit ; hand hygiene compliance ; multicenter ; intervention study ; healthcare-associated infection
刊名: 中国感染控制杂志
发表日期: 2015
DOI: 10.3969/j.issn.1671-9638.2015.08.012
期: 8, 页:557-560
收录类别: 中国科技核心期刊
文章类型: Journal Article
摘要: 目的:通过采取一系列干预措施提高我国新生儿重症监护病房(NICU)医务人员手卫生依从性。方法以多中心研究的方式,选取全国9个省及直辖市17所三级甲等医院,采用世界卫生组织(WHO)手卫生调查方法,每月对医务人员进行手卫生依从性调查。2013年10月1日—2014年3月31日为干预前;2014年4月1日—9月30日采取及时反馈与强化培训等干预措施,即为干预后。结果医务人员手卫生依从率干预前为80.29%,干预后为80.85%,干预前后比较,差异无统计学意义(P >0.05)。不同规模 NICU 医务人员手卫生依从率干预前后比较,差异均有统计学意义(均 P <0.05),其中<20张、20~30张床位的 NICU 医务人员手卫生依从率干预后均高于干预前(均 P <0.05),>30张床位的 NICU 医务人员手卫生依从率干预后低于干预前(P <0.001)。保洁人员手卫生依从率由干预前的58.82%提高至干预后的68.09%,差异有统计学意义(P <0.05);不同手卫生指征中除清洁或无菌操作前,其他手卫生指征医务人员手卫生依从率干预前后比较,差异均有统计学意义(均 P <0.05)。结论我国 NICU 医务人员的手卫生依从性处于较高水平,采取强化培训、及时反馈等干预措施对不同规模 NICU、不同岗位医务人员、不同手卫生指征的手卫生依从性有一定影响。 Objective To improve hand hygiene (HH)compliance of health care workers (HCWs)in neonatal in-tensive care units(NICUs)in China through a series of intervention measures.Methods A multicenter study was conducted,17 tertiary first class hospitals in 9 provinces and cities were selected,HH compliance of HCWs in these hospitals were investigated every month according to HH investigation method of World Health Organization.From October 1 ,2013 to March 31 ,2014 was pre-intervention stage;from April 1 ,2014 to September 30,2014 was post-intervention stage,timely feedback and intensified training were conducted at post-intervention stage.Results HH compliance rates of HCWs before and after intervention were 80.29% and 80.85% respectively,there was no sig-nificant difference (P >0.05).HH compliance rates of HCWs in different sizes of ICUs were significantly different before and after intervention (all P <0.05),in NICUs with<20 beds and 20-30 beds after the intervention were both significantly higher than before intervention (both P <0.05 ),while >30 beds were significantly lower than before intervention(P <0.001 );HH compliance rate of cleaners increased from 58.82% before intervention to 68.09% after intervention (P <0.05 );Of different hand hygiene indications,except before clean/aseptic task, compliance to the other HH indications were significantly different between before and after intervention(all P <0.05).Conclusion HH compliance is high among HCWs in NICUs in China,intervention measures,such as inten-sified training and timely feedback have certain influence in compliance to HH among HCWs at different sizes of ICUs,of different occupations,and at different HH indications.
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/400002259/48910
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.中国医科大学附属盛京医院,辽宁 沈阳,110004
5.广东省人民医院,广东 广州,510008
6.四川大学华西医院,四川成都,610041
7.山东省立医院,山东 济南,250021
8.贵州省人民医院,贵州 贵阳,550002
9.山西医学科学院山西大医院,山西 太原,030001
10.解放军总医院,北京,100853
11.郑州大学第一附属医院,河南 郑州,450052
12.浙江大学医学院附属第二医院,浙江 杭州,310009

Recommended Citation:
任军红,吴安华,胡必杰,等. 新生儿重症监护病房医务人员手卫生依从性多中心干预研究[J]. 中国感染控制杂志,2015(8):557-560.
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