基础医学与临床 ›› 2018, Vol. 38 ›› Issue (11): 1665-1668.

• 医学教育 • 上一篇    下一篇

多维度培训策略提高ICU进修人员手卫生依从性

孙小南1,何怀武2,马鸿鸣1,张媛媛1,孙建华1,刘大为2   

  1. 1. 北京协和医院
    2. 中国医学科学院北京协和医院
  • 收稿日期:2018-06-07 修回日期:2018-07-18 出版日期:2018-11-05 发布日期:2018-11-22
  • 通讯作者: 刘大为 E-mail:dwliu98@163.com
  • 基金资助:
    基础临床课程改革-基于器官间及重症临床思维的课程建设;基于重症临床思维培养的教学资源及考试平台建设

Multi-dimensional training mode improves the hand hygiene compliance of advanced medical workers in ICU

  • Received:2018-06-07 Revised:2018-07-18 Online:2018-11-05 Published:2018-11-22

摘要: 目的 探讨手卫生多维度培训策略建立前后对进修人员手卫生依从性的影响。方法 通过调查北京协和医院重症医学科新入科进修人员手卫生依从性,针对2016年上半年入科进修人员手卫生培训后,手卫生依从性差的情况,下半年采用“标准化手卫生系列讲座”、“院感小组考核评价”、“临床操作check list”、“增设手卫生督导岗位”等一系列方法的手卫生多维度培训策略进行手卫生培训,并评价2016年手卫生多维度培训策略建立前后入科进修人员手卫生依从性。结果 进修医生的手卫生依从性从上半年的44.9%(318/709)上升至下半年的81.4%(991/1,217),手卫生依从性相差36.5%(P<0.001)。进修护士的手卫生依从性从上半年的63.1 %(318/709)上升至下半年的91.9%(2,177/2,368),手卫生依从性相差28.8%(P<0.001)。结论 手卫生多维度培训策略的建立在短期内显著提升进修人员的手卫生依从性,为预防重症患者院内感染的培训提供参考。

关键词: [关键词] 手卫生, 院内感染, 依从性, 多维度

Abstract: Objective To investigate the influence of the multi-dimensional hand hygiene education on the hand hygiene compliance in refresher medical workers before and after the multi-dimensional hand hygiene education. Methods For the poor hand hygiene compliance of the refresher workers after the training in the first half of 2016, a multi-dimensional hand hygiene education have been performed with aim to improve hand hygiene compliance of newly-entered refresher. The multi-dimensional hand hygiene education bundle include "standardized hand hygiene series lectures", "Hospital Sense Group Assessment", "Clinical operation check List" and "Addition of hand hygiene supervision post". Results The trainees, who joined the department in the second half of 2016, enrolled in the training of hand hygiene. The refresher doctors’ hand hygiene compliance rose from 44.9% (318/709) in the first half to 81.4% (991/1,217) in the second half. Hand Hygiene Compliance Difference is 36.5%, (P<0.001); there are significant differences. The hand hygiene compliance of refresher nurses rose from 63.1 (318/709) in the first half to 91.9% (2,177/2,368) in the second half. Hand Hygiene Compliance Difference is 28.8%, (P<0.001); there are significant differences. Conclusions The established training model of hand hygiene could significantly improve the hand hygiene compliance of the trainees in a short-term.

Key words: [Key words]: hand hygiene, nosocomial infection, compliance, multi-dimension