桂湘芬　邝日红　黄伟香

【摘要】 目的：探讨手卫生质量改进方案在本院医务人员手卫生质量监测中的应用效果。方法：将2016年1-12月本院未实施手卫生质量改进方案前设为对照组，将2017年1-12月本院实施手卫生质量改进方案后作为研究组，对本院医务人员手卫生的依从性、正确率、卫生知识知晓率、临床医务人员手卫生执行情况及外科洗手监测总体情况进行比较。结果：研究组医务人员手卫生的依从性、正确率、卫生知识知晓率均明显高于对照组（P<0.05）;对照组临床医务人员手卫生执行情况明显低于研究组（P<0.05）;研究组外科洗手监测总体情况优于对照组（P<0.05）。结论：对本院医务人员实施手卫生质量改进方案可有效提高医务人员对手卫生知识的知晓率、正确率及依从性，改善临床医务人员手卫生执行情况，使医务人员洗手监测总体情况得到提高，值得推广应用。

【关键词】 改进方案; 手卫生; 质量监测; 卫生知识知晓率; 执行情况

Application of Hand Hygiene Quality Improvement Program in Hand Hygiene Quality Monitoring of Medical Staff in Our Hospital/GUI Xiangfen，KUANG Rihong，HUANG Weixiang.//Medical Innovation of China，2019，16（18）：-153

【Abstract】 Objective：To explore the application effect of hand hygiene quality improvement program in hand hygiene quality monitoring of medical staff in our hospital.Method：The control group was set before the implementation of hand hygiene quality improvement program in our hospital from January to December 2016，and the research group was set after the implementation of hand hygiene quality improvement program in our hospital from January to December 2017.The compliance，accuracy，awareness rate of health knowledge，hand hygiene performance of clinical medical staff and the overall situation of hand washing surveillance in our hospital were compared.Result：The compliance，accuracy and awareness of hand hygiene knowledge of medical staff in the research group were significantly higher than those in the control group（P<0.05）.The hand hygiene performance of clinical medical staff in the control group was significantly lower than that in the research group（P<0.05）.The overall situation of hand washing monitoring in the research group was better than that in the control group（P<0.05）.Conclusion：Implementing hand hygiene quality improvement program for medical staff in our hospital can effectively improve the awareness，accuracy and compliance of hand hygiene knowledge among medical staff，improve the implementation of hand hygiene among clinical medical staff，improve the overall situation of hand washing monitoring among medical staff，and it is worth of popularizing and applying.

【Key words】 Improvement program; Hand hygiene; Quality monitoring; Health knowledge awareness rate; Implementation

First-authors address：Dongguan City Zhangmutou Peoples Hospital，Dongguan 523636，China

doi：10.3969/j.issn.1674-4985.2019.18.040

醫院感染管理中的重点就是医务人员的手卫生情况。相关研究结果显示，医院感染发生率和院内医务人员手卫生执行情况呈相关性[1]。与患者接触前后、无菌操作前、与患者进行接触或与患者周围的环境接触后，对手卫生要严格执行，为了降低手部携带病原菌医务人员应遵循正确的步骤对手部进行清洗，从而大大降低了发生交叉感染的概率，同时也给予医务人员一定的保护[2]。在执行手卫生时医务人员的配合度及认识度应得到提高，近年来医务人员的工作程序逐渐复杂，工作任务也越来越繁重，而相对于手卫生知识知晓程度明显不足，因此得不到医务人员的重视，进而降低了对其的执行情况[3]。本院对医务人员的手卫生情况实施改进方案，取得十分理想的效果。现报道如下。

1 资料与方法

1.1 一般资料 将2016年1-12月本院未实施手卫生质量改进方案前设为对照组，将2017年1-12月本院实施手卫生质量改进方案后作为研究组。……