感染控制教育对ICU医护人员洗手依从性影响.docVIP

感染控制教育对ICU医护人员洗手依从性影响【摘要】 目的 探讨医院感染控制教育对ICU医护人员洗手依从性的作用。方法 临床观察ICU医护人员在进行感染控制教育前后1周,医护人员洗手的依从性,同时记录选择流水洗手和应用健之素手消毒液的比例,分别观察教育后第1、5、9、13周的依从性情况。采用提醒方式后,观察洗手依从性。结果 在进行感染控制教育后,洗手依从性增高。选用免洗消毒液洗手的比率升高。教育后第1、5、9、13周,依从性呈下降趋势。采用早会提醒后,依从性重新提高。结论 ICU感染控制教育和免洗消毒液可以提高医护人员洗手依从性,反复加强感染控制教育,有助于洗手依从性的保持。 【关键词】 感染;消毒;危重症病房;洗 The effects of infection control education and jianzhisu handDisinfection-Solution on hand Disinfection Compliance in an Intensive Care Unit CHEN Lan-zhen,LI Jian-ying,XU Mei-zhu. The intensive unit of second hospital of xiamen,fujian361026 Xiamen,China 【Abstract】 Objective To explore the role of infection control education and jianzhisu hand Disinfection-Solution on the improve of hand Disinfection Compliance in an Intensive Care Unit. Methods Observe the change of hand Disinfection Compliance in 1 week before and after infection control education,and the proportion of water-washing and jianzhisu hand Disinfection-Solution using. The hand Disinfection Compliance were noted during 1,5,9,13 week respectively after the education and 2 weeks after the reminding methods were introduced .Results There were increasing on the hand Disinfection Compliance and the choice of jianzhisu hand Disinfection-Solution in an Intensive Care Unit after infection control education. The hand Disinfection Compliance were decreasing gradually in1,5,9,13 weeks. Reminding could improve theCompliance.Conclusion Infection control education and jianzhisu hand Disinfection-Solution could improve hand Disinfection Compliance in an Intensive Care Unit,theemphasized repeat could keep high Compliance. 【Key words】 Infection;Disinfection;Intensive Care Unit; Wash hand 目前,医院获得性感染的发病率仍居高不下,ICU更是医院获得性感染的常见场所。医院获得性感染的发生,既增加患者的医疗花费,同时还增加患者在ICU的逗留时间,并且使患者的死亡率上升[1],有效的预防医院获得性感染,对于ICU患者来讲,有更为重要的意义。研究表明,在ICU中,经手造成的细菌传播是医院获得性感染的重要途径,而规范的手消毒可有效的预防细菌在ICU的传播[2],但由于ICU工作性质和工作人员对感染控制的概念的理解等因素,往往造成依从性不高的现象,如何提高ICU医护人员洗手依从性成为一个比较重要的课题,我们通过对ICU医护人员的感染控制教育,取得一定效果,先将结果报道如下。 1 临床和方法 1.1 实验方