不同培训方式对医护人员手卫生依从性的影响

目的采用常规培训与联合手污染状况调查的培训方法对医护人员进行宣教,评价两种方法对医护人员手卫生依从性的影响。方法 2013年11月—2014年4月,选择心血管内科两个病房的全体医护人员作为宣教对象并分别设为实验组与对照组。培训前1个月对两组进行手卫生依从性摸底调查,培训后第1个月两组均采用常规宣教培训方法,第2个月至第5个月在常规宣教培训方法的基础上实验组增加手卫生污染状况调查培训方法,分别统计两组医护人员的手卫生依从率。结果培训前实验组与对照组手卫生依从率分别为42.63%(107/251)、41.80%(102/244),差异无统计学意义(P0.05);培训后第1和第2个月,实验组医护人员手卫生依从率分别为55.70%(132/237)、63.11%(154/244),对照组分别为56.52%(130/230)、62.61%(149/238),与培训前比较,差异均有统计学意义(均P0.05),但两组间差异无统计学意义(P0.05);培训后第3个月至第5个月,实验组医护人员手卫生依从率分别为60.73%(150/247)、61.44%(145/236)、61.22%(150/245),对照组分别为51.68%(123/238)、51.02%(125/245)、52.32%(124/237),两组间差异有统计学意义(P0.05)。结论采用常规培训同时联合手污染状况调查的培训方式可以更好地促进医护人员手卫生依从性的提高。

hand hygiene; compliance; healthcare associated infection;training; health care worker

ObjectiveTo train health care workers (HCWs) by method of conventional training plus survey of hand contamination status, the influence of two kinds of methods in hand hygiene compliance of HCWs was evaluated. MethodsFrom November 2013 to April 2014, all HCWs in a cardiovascular internal medicine department were as trained subjects, they were divided into two groups (trial group and control group).Hand hygiene compliance status was investigated 1 month before training. In the first month after training, conventional training method was adopted by both groups， from the second to fifth month, conventional training plus hand contamination survey was adopted by trial group, hand hygiene compliance between two groups were compared.ResultsHand hygiene compliance rates of trial group and control group was 42.63% (107/251) and 41.80% (102/244) respectively before training, there was no significant difference（P＞0.05）.In the first and second month after training， hand hygiene compliance rate of trial group was 55.70% (132/237) and 63.11% (154/244) respectively,control group was 56.52% (130/230) and 62.61% (149/238) respectively， compared with pre training， the differences were significant (both P＜0.05), but the difference was not significant between two groups(P＞0.05); From the third to fifth month, hand hygiene compliance rates of trial group was 60.73%（150/247）,61.44%（145/236）,and 61.22%（150/245）respectively, control group was 51.68%（123/238）,51.02%（125/245）,and 52.32%（124/237）respectively, there was significant difference between two groups(P＜0.05).ConclusionConventional training combined with survey of hand contamination status can promote hand hygiene compliance of HCWs.