手卫生宣传活动对ICU医护人员手卫生依从性的影响

目的评价手卫生活动对ICU医护人员手卫生依从性的干预效果。方法采用直接观察法观察ICU医护人员手卫生执行情况。结果 "接触患者前"的手卫生依从率,时段2明显高于时段1,且差异有统计学意义(χ2=6.950,P=0.008),见表1。时段3的手卫生依从率较时段2有显著下降,差异有统计学意义(χ2=6.615,P=0.013);"无菌操作前"手卫生依从率,时段1(χ2=11.636,P=0.001)及时段2(χ2=9.398,P=0.002)均明显高于时段3,时段1与时段2间,差异无统计学意义(χ2=0.132,P=0.717);"接触患者血液、体液后"手卫生依从率,时段2高于时段3(χ2=5.851,P=0.016),时段1与时段2,差异无统计学意义(χ2=0.320,P=0.572),时段2中使用ABHR的比例较时段1有明显的增加;"接触患者后"手卫生依从率,3个时段间,差异无统计学意义(χ2=4.889,P=0.087)。时段2及时段3中使用ABHR的比例较时段1有所升高;"接触患者周围环境后"手卫生依从率,时段1(χ2=20.636,P=0.000)及时段2(χ2=25.687,P=0.000)均明显高于时段3,时段3中,使用ABHR的比例有所下降。结论手卫生宣传活动普及了手卫生相关知识,提高了医务人员对手卫生的重视度及依从性。

Analysis of the impact of Hand hygiene Program on hand hygiene compliance in an intensive-care unit

Objective To evaluate the effects of a hand hygiene program on compliance with hand hygiene in an adult intensive-care unit(ICU).Methods Assessing the compliance rate of hand hygiene with direct monitor.Results The hand hygiene compliance rate at the moment of before touching a patient during section 2 was higher than section 1(χ2=6.950,P=0.008);The hand hygiene compliance rate during section 3 was lower than section 2(χ2=6.615,P=0.013);The hand hygiene compliance rate at the moment of before a clean/aseptic procedure during section 3 was lower than section 1(χ2=11.636,P=0.001)and section 2(χ2=9.398,P=0.002),there was no difference between section 1 and section 2(χ2=0.132,P=0.717);The hand hygiene compliance rate at the moment of after body fluid exposure risk during section 2 was higher than section 3(χ2=5.851,P=0.016),there was no difference between section 1 and section 2(χ2=0.320,P=0.572),during section 2,the rate of the use of ABHR increased significantly.There were no difference during the 3 sections at the moment of after touching a patient;The hand hygiene compliance rate at the moment of after touching patient surroundings during section 1 and 2 were higher than section 3,and the ABHR using declined.Conclusion The Hand hygiene program do popularize hand hygiene knowledge,promote a degree of attention and hand hygiene compliance of health care workers from ICU.