品管圈活动对提高手术室巡回护士洗手依从性效果剖析.docVIP

品管圈活动对提高手术室巡回护士洗手依从性效果剖析 　　[摘要] 目的 分析影响护理人员手卫生执行的相关因素，探究品管圈活动对于提高手术室巡回护士洗手依从性及综合素质的效果。 方法 选取我院12名手术室巡回护士为研究对象，采用品管圈的管理方式对其进行护理干预，比较不同时段内护理人员的洗手依从性及综合素质。 结果 干预实施前及干预1周后、干预2周后巡回护士的总体洗手执行率分别为72%、80.0%、73.3%，总体洗手执行率在干预1周后显著上升。2周后又回落到了干预前相似水平，干预实施前及干预1周后、干预2周后巡回护士的平均素质得分分别为（52.4±4.6）、（68.0±6.4）、（83.6±8.5），差异均有统计学意义（P0.01）。 结论 品管圈活动可以有效提高手术室巡回护士的综合素质，在短期内也可迅速提升其洗手的依从性，但由于品管圈活动缺乏长期监督管理的环境，巡回护士其交接安置患者洗手率会严重回落，直接导致总体洗手依从性会再次回落。 　　[关键词] 品管圈；巡回护士；手卫生；依从性 　　[中图分类号] R47 [文献标识码] B [文章编号] 2095-0616（2015）20-77-04 　　Effect analysis of quality control circle activity improving hand-washing compliance of circulating nurses in operating room 　　WAN Meiping WU Mingqin LUO Yuanrong 　　Operating Room， Nanjing Brain Hospital， Nanjing 210029， China 　　[Abstract] Objective To analyze related factors of hand hygiene implementation and to explore effect of quality control circle activity on improving hand-washing compliance and comprehensive quality of circulating nurses in operating room. Methods 12 circulating nurses of operating room in our hospital were selected as research objects and they were received nursing intervention by management method of quality control circle. Hand-washing compliance and comprehensive quality of nursing staff during different periods were compared. Results Total hand-washing implementation rates before intervention， 1 week after intervention and 2 weeks after intervention of circulating nurses were 72%， 80.0% and 73.3% respectively. Total hand-washing implementation rate of 1 week after intervention was significantly increased while total hand-washing implementation rate of weeks after intervention was the same as that before intervention. Average quality score before intervention， 1 week after intervention and 2 weeks after intervention of circulating nurses were （2.4±4.6）， （68.0±6.4） and （83.6±8.5） respectively. The differences all had statistical significance（P0.01）. Conclusion Quality control circle activity can effectively improve comprehensive qualit