| 重症监护病房医务人员手卫生依从性多中心干预效果 |
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| 引用本文： | 李六亿,吴安华,胡必杰,李卫光,侯铁英,刘运喜,文建国,宗志勇,杨怀,杨芸,陆群,张秀月,冯亚静,赵一飞. 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, 14(8): 513-517. DOI: 10.3969/j.issn.1671-9638.2015.08.003 |
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| 作者姓名： | 李六亿 吴安华 胡必杰 李卫光 侯铁英 刘运喜 文建国 宗志勇 杨怀 杨芸 陆群 张秀月 冯亚静 赵一飞 |
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| 作者单位： | 重症监护病房医务人员手卫生依从性多中心干预效果 |
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| 基金项目： | 中国医院协会医院感染预防与控制能力建设项目（CHA-2012-XSPX-0629-1） |
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| 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%(11 155/15 135)提升至干预后的78.70%(18 206/23 132),差异有统计学意义(χ2=128.16,P0.01);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P0.05);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P0.05);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P0.05);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P0.01)。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。
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| 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 |
| 收稿时间： | 2015-07-02 |
| 修稿时间： | 2015-07-12 |
Effectiveness of multicenter intervention in hand hygiene compliance among health care workers in intensive care units |
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| LI Liu yi,WU An hu,HU Bi jie,LI Wei guang,HOU Tie ying,LIU Yun xi,W. Effectiveness of multicenter intervention in hand hygiene compliance among health care workers in intensive care units[J]. Chinese Journal of Infection Control, 2015, 14(8): 513-517. DOI: 10.3969/j.issn.1671-9638.2015.08.003 |
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| Authors: | LI Liu yi WU An hu HU Bi jie LI Wei guang HOU Tie ying LIU Yun xi W |
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| Affiliation: | 1 Peking University First Hospital, Beijing 100034,China; 2 Xiangya Hospital, Central South University, Changsha 410008, China; 3 Zhongshan Hospital, Fudan University, Shanghai 200032, China; 4 Shandong Provincial Hospital, Jinan 250021, China; 5 Guangdong General Hospital, Guangzhou 510008, China; 6 General Hospital of PLA, Beijing100853,China; 7 The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052,China;8 West China Hospital, Sichuan University, Chengdu 610041,China; 9 Guizhou Provincial People’s Hospital, Guiyang 550002,China; 10 Shanxi Dayi Hospital, Shanxi Academy of Medical Sciences, Taiyuan 030001,China; 11 The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009,China;12 Shengjing Hospital, China Medical University, Shenyang 110004, China |
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| Abstract: | ObjectiveTo 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. MethodsA 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. ResultsHH 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 significantly after intervention（all P＜0.05）; among all departments, HH compliance of HCWs in general ICUs, respiratory 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）. ConclusionComprehensive interventions are helpful for improving HH compliance of HCWs in ICUs. |
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| Keywords: | intensive care unit health care worker hand washing hand hygiene compliance rate comprehensive intervention multicenter study |
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