专科分组培训提高手术人员手卫生依从性.docVIP

精品论文 参考文献 专科分组培训提高手术人员手卫生依从性 吴红英 甘水芬 陈新连 　　（自贡市第一人民医院 四川 自贡 643000） 　　【摘 要】目的：探讨手术室采用专科分组培训手卫生的应用效果。方法：手术室按手术专科分为10个组，由各手术专科组长负责该组专科医生护士、轮转医生护士及实习医生、护士的手卫生知识培训、监督、考核，每月有针对性的培训、考核、整改资料上交科室院感监测员。科室院感监测员每周随机抽查2-4人手卫生依从性；院感科每月进行1次督查、采样，检验手卫生合格率。最后将实行专科分组培训前后外科手消毒及卫生手消毒细菌菌落数监测合格率（监测结果比较）和手术人员手卫生依从率进行比较。结果：实行专业分组培训后手消毒及细菌菌落数监测合格率：外科手消毒合格率手术医生为100%（24/24）明显高于分组前91.667%（22/24），实习生为95%（19/20）高于分组前76%（16/21）差异均有统计学意义(Plt;0.05)；手术室护士外科手消毒合格率实行专科分组培训前后无差异。卫生手消毒合格率：手术医生为100%（8/8）高于分组前71.4%（5/7），实习生为83.33%（5/6）高于分组前40%（2/5），手术室护士卫生手消毒合格率实行专科分组培训前后无差异；实行专业分组培训后手术人员手卫生依从率为90%（108/120）高于分组前60.16%（70/118）。结论：专业组长了解本专科人员情况，能有针对性进行人员的手卫生培训、监督、考核，为院感专职人员提供全面信息，提高手卫生依从性及手消毒合格率，保障手术病人安全，同时保护医护人员。 　　【关键词】手卫生；依从性；专科分组；培训 　　【中图分类号】R471 【文献标识码】B 【文章编号】1003-5028（2015）8-0888-01 　　 　　【Abstract】Objective: To study the operating room by specialist group training and application effect of hand hygiene. Methods: the operating room according to the operation of specialized subject divided into 10 groups, by major surgery specialist team leader is responsible for this group of specialist doctors and nurses, doctors and nurses and rotary intern doctors, nurses, hand hygiene knowledge training, supervision, evaluation, monthly targeted training, examination and rectification materials to department school inspectors. Sense of courtyard department inspectors random spot check every week 2-4 hand hygiene compliance; Feeling department monthly 1 inspection, sampling, inspection qualified rate of hand hygiene. Finally will be specialist group surgical hand disinfection and sanitary hand disinfection before and after the training qualified rate of bacterial colonies for monitoring (monitoring results comparison) and operation personnel hand hygiene compliance rate comparison. Results: the implementation of professional group training conducted disinfection and quality: the number of bacterial colonies monitoring surgical hand disinfection qualified rate was 100% (24/24) surgeons top 91.667% (22/