组合式干预在提高手卫生依从性中的应用

目的探讨提高医务人员手卫生依从性的有效方法。方法2012年，采用一系列组合式管理措施，对某院医务人员手卫生依从性进行干预。结果2012年该院手卫生依从性检查共计72次，改造全院非手触式水龙头86个，补充张贴宣传图、洗手流程图420张。2012年手卫生依从率为60.48%，显著高于2011年的34.50%（χ2=458.70，P＜0.05）；手卫生合格为82.13%，显著高于2011年的60.04%（χ2=188.41，P＜0.05）。2012年全院及重症监护室快速手消毒剂每床日使用量分别为3.15 mL、21.82 mL，显著高于2011年的0.39 mL、17.81 mL（t值分别为2.59、2.76，均P＜0.05）。结论采取组合式干预措施，能有效提高医务人员手卫生的依从性。

Application of comprehensive interventions to improve hand hygiene compliance

ObjectiveTo explore the effective measures to improve hand hygiene compliance among health care workers(HCWs) in a hospital.MethodsIn 2012,comprehensive management measures were taken to intervene hand hygiene compliance among HCWs in a hospital.ResultsA total of 72 times of inspection of hand hygiene among HCWs in the whole hospital were conducted, 86 non hand touching water taps were transformed, 420 posters pictures and hand washing flow charts were put up. Hand hygiene compliance rate in 2012 was higher than in 2011(60.48% vs 34.50%)（χ2=458.70，P＜0.05）；qualified rate of hand hygiene was higher than in 2011 (82.13% vs 60.04%)(χ2=188.41，P＜0.05）.The consumption of fast acting hand disinfectant of whole hospital and intensive care unit was significantly higher than in 2011(3.15mL /bed/day vs 0.39mL/bed/day,t=2.59; 21.82 mL/bed/day vs 17.81mL/bed/day,t=2.76，both P＜0.05）.ConclusionComprehensive management measures can effectively improve hand hygiene compliance among HCWs.